Long Term Follow-Up of a Successful Lower Limb Replantation in a 3-Year-Old Child
Replantation of the lower extremity has controversial indications but nevertheless it may be considered in carefully selected patients who present early and are expected to show good functional recoveries. Here we present a successful replantation in a 3-year-old boy who has made excellent recovery...
Saved in:
| Main Authors: | , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Wiley
2015-01-01
|
| Series: | Case Reports in Orthopedics |
| Online Access: | http://dx.doi.org/10.1155/2015/425376 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1850106546543919104 |
|---|---|
| author | Akbar Jaleel Zubairi Pervaiz Mahmood Hashmi |
| author_facet | Akbar Jaleel Zubairi Pervaiz Mahmood Hashmi |
| author_sort | Akbar Jaleel Zubairi |
| collection | DOAJ |
| description | Replantation of the lower extremity has controversial indications but nevertheless it may be considered in carefully selected patients who present early and are expected to show good functional recoveries. Here we present a successful replantation in a 3-year-old boy who has made excellent recovery with no functional deficit evident at 12 years of follow-up. He sustained a traumatic amputation at the level of distal tibia when he fell of a “Qing Qi” (motorcycle rickshaw). Replantation was attempted at 8 hours cold ischemia time with the tibia shortened 4 cm and all tendons, vessels, and nerves repaired. Patient required a second procedure during the same hospital stay for skin coverage. Patient made good recovery with ambulation without support at 6 months, less than 3 cm limb length discrepancy, plantar and dorsiflexion power 4/5, and recovery of sensation over the foot. Now at 12 years of follow-up patient has a normal gait and has integrated into society with no functional deficit. Considering the functional outcome of our case, replantation should be attempted whenever possible and feasible especially in children. |
| format | Article |
| id | doaj-art-2d480e3190df4faf887dc482406ca953 |
| institution | OA Journals |
| issn | 2090-6749 2090-6757 |
| language | English |
| publishDate | 2015-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Orthopedics |
| spelling | doaj-art-2d480e3190df4faf887dc482406ca9532025-08-20T02:38:48ZengWileyCase Reports in Orthopedics2090-67492090-67572015-01-01201510.1155/2015/425376425376Long Term Follow-Up of a Successful Lower Limb Replantation in a 3-Year-Old ChildAkbar Jaleel Zubairi0Pervaiz Mahmood Hashmi1Aga Khan University, Karachi 74800, PakistanAga Khan University, Karachi 74800, PakistanReplantation of the lower extremity has controversial indications but nevertheless it may be considered in carefully selected patients who present early and are expected to show good functional recoveries. Here we present a successful replantation in a 3-year-old boy who has made excellent recovery with no functional deficit evident at 12 years of follow-up. He sustained a traumatic amputation at the level of distal tibia when he fell of a “Qing Qi” (motorcycle rickshaw). Replantation was attempted at 8 hours cold ischemia time with the tibia shortened 4 cm and all tendons, vessels, and nerves repaired. Patient required a second procedure during the same hospital stay for skin coverage. Patient made good recovery with ambulation without support at 6 months, less than 3 cm limb length discrepancy, plantar and dorsiflexion power 4/5, and recovery of sensation over the foot. Now at 12 years of follow-up patient has a normal gait and has integrated into society with no functional deficit. Considering the functional outcome of our case, replantation should be attempted whenever possible and feasible especially in children.http://dx.doi.org/10.1155/2015/425376 |
| spellingShingle | Akbar Jaleel Zubairi Pervaiz Mahmood Hashmi Long Term Follow-Up of a Successful Lower Limb Replantation in a 3-Year-Old Child Case Reports in Orthopedics |
| title | Long Term Follow-Up of a Successful Lower Limb Replantation in a 3-Year-Old Child |
| title_full | Long Term Follow-Up of a Successful Lower Limb Replantation in a 3-Year-Old Child |
| title_fullStr | Long Term Follow-Up of a Successful Lower Limb Replantation in a 3-Year-Old Child |
| title_full_unstemmed | Long Term Follow-Up of a Successful Lower Limb Replantation in a 3-Year-Old Child |
| title_short | Long Term Follow-Up of a Successful Lower Limb Replantation in a 3-Year-Old Child |
| title_sort | long term follow up of a successful lower limb replantation in a 3 year old child |
| url | http://dx.doi.org/10.1155/2015/425376 |
| work_keys_str_mv | AT akbarjaleelzubairi longtermfollowupofasuccessfullowerlimbreplantationina3yearoldchild AT pervaizmahmoodhashmi longtermfollowupofasuccessfullowerlimbreplantationina3yearoldchild |