Bone spur formation in transtibial amputation in pediatric patients
Objective: Amputating a limb during childhood is a rare yet significant event often perceived as a catastrophe by families and subsequently by the child. A multidisciplinary team, including wound care, rehabilitation, and prosthesis fitting specialists, plays a crucial role in managing these patien...
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| Format: | Article |
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Associação Brasileira de Medicina e Cirurgia do Tornozelo e Pé - ABTPé
2025-04-01
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| Series: | Journal of the Foot & Ankle |
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| Online Access: | https://scijfootankle.emnuvens.com.br/JournalFootAnkle/article/view/1849 |
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| author | Rodrigo Sousa Macedo Eduardo Ramon da Cruz Dov Rosemberg Rafael Barban Sposeto Giovanni Fornino Túlio Diniz Fernandes Alexandre Leme Godoy-Santos |
| author_facet | Rodrigo Sousa Macedo Eduardo Ramon da Cruz Dov Rosemberg Rafael Barban Sposeto Giovanni Fornino Túlio Diniz Fernandes Alexandre Leme Godoy-Santos |
| author_sort | Rodrigo Sousa Macedo |
| collection | DOAJ |
| description |
Objective: Amputating a limb during childhood is a rare yet significant event often perceived as a catastrophe by families and subsequently by the child. A multidisciplinary team, including wound care, rehabilitation, and prosthesis fitting specialists, plays a crucial role in managing these patients. The objective of this study is to retrospectively evaluate transtibial amputations performed on children aiming to assess the percentage of individuals who developed symptomatic spurs after the initial amputation procedure. Method: This study retrospectively evaluates transtibial amputations performed on children from 1990 to 2021, focusing on the development of symptomatic bone spurs post-surgery. Results: Our findings indicate that out of 27 patients under 12 years of age, 66.66% developed symptomatic spurs requiring revision surgery, with a mean time to identify these spurs being approximately 53 months post-amputation. The primary indications for amputation were congenital issues (51.85%), trauma, and infections. Although bone overgrowth is the most common complication in 66.66% of cases, younger individuals are more likely to experience this issue. Despite the high revision rates, amputation remains critical for long-term functional outcomes. Limitations of the study include a small sample size and retrospective design, yet it highlights the importance of vigilance regarding bone spur formation in pediatric amputees. Conclusion: Bone spurs are a common complication of transtibial amputation in children, regardless of the technique used for the procedure. Understanding the existence of this condition allows physicians to educate families and children about this possibility and prepare them for possible new procedures. Level of evidence IV; Therapeutic studies - investigating the results of treatment.
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| format | Article |
| id | doaj-art-8dc3ffcd0a814677bb5d6fd4edfcf1a6 |
| institution | OA Journals |
| issn | 2675-2980 |
| language | English |
| publishDate | 2025-04-01 |
| publisher | Associação Brasileira de Medicina e Cirurgia do Tornozelo e Pé - ABTPé |
| record_format | Article |
| series | Journal of the Foot & Ankle |
| spelling | doaj-art-8dc3ffcd0a814677bb5d6fd4edfcf1a62025-08-20T02:31:02ZengAssociação Brasileira de Medicina e Cirurgia do Tornozelo e Pé - ABTPéJournal of the Foot & Ankle2675-29802025-04-0119110.30795/jfootankle.2025.v19.1849Bone spur formation in transtibial amputation in pediatric patientsRodrigo Sousa Macedo0https://orcid.org/0000-0002-5025-4338Eduardo Ramon da Cruz1https://orcid.org/0000-0003-0348-3821Dov Rosemberg2https://orcid.org/0000-0003-0183-8641Rafael Barban Sposeto3https://orcid.org/0000-0003-1085-0917Giovanni Fornino4Túlio Diniz Fernandes5Alexandre Leme Godoy-Santos6Faculdade de Medicina, Universidade de São Paulo, São Paulo, SP, BrazilFaculdade de Medicina, Universidade de São Paulo, São Paulo, SP, BrazilFaculdade de Medicina, Universidade de São Paulo, São Paulo, SP, BrazilFaculdade de Medicina, Universidade de São Paulo, São Paulo, SP, BrazilFaculdade de Medicina, Universidade de São Paulo, São Paulo, SP, BrazilFaculdade de Medicina, Universidade de São Paulo, São Paulo, SP, BrazilFaculdade de Medicina, Universidade de São Paulo, São Paulo, SP, Brazil Objective: Amputating a limb during childhood is a rare yet significant event often perceived as a catastrophe by families and subsequently by the child. A multidisciplinary team, including wound care, rehabilitation, and prosthesis fitting specialists, plays a crucial role in managing these patients. The objective of this study is to retrospectively evaluate transtibial amputations performed on children aiming to assess the percentage of individuals who developed symptomatic spurs after the initial amputation procedure. Method: This study retrospectively evaluates transtibial amputations performed on children from 1990 to 2021, focusing on the development of symptomatic bone spurs post-surgery. Results: Our findings indicate that out of 27 patients under 12 years of age, 66.66% developed symptomatic spurs requiring revision surgery, with a mean time to identify these spurs being approximately 53 months post-amputation. The primary indications for amputation were congenital issues (51.85%), trauma, and infections. Although bone overgrowth is the most common complication in 66.66% of cases, younger individuals are more likely to experience this issue. Despite the high revision rates, amputation remains critical for long-term functional outcomes. Limitations of the study include a small sample size and retrospective design, yet it highlights the importance of vigilance regarding bone spur formation in pediatric amputees. Conclusion: Bone spurs are a common complication of transtibial amputation in children, regardless of the technique used for the procedure. Understanding the existence of this condition allows physicians to educate families and children about this possibility and prepare them for possible new procedures. Level of evidence IV; Therapeutic studies - investigating the results of treatment. https://scijfootankle.emnuvens.com.br/JournalFootAnkle/article/view/1849Amputation, surgical; Child; Osteophyte. |
| spellingShingle | Rodrigo Sousa Macedo Eduardo Ramon da Cruz Dov Rosemberg Rafael Barban Sposeto Giovanni Fornino Túlio Diniz Fernandes Alexandre Leme Godoy-Santos Bone spur formation in transtibial amputation in pediatric patients Journal of the Foot & Ankle Amputation, surgical; Child; Osteophyte. |
| title | Bone spur formation in transtibial amputation in pediatric patients |
| title_full | Bone spur formation in transtibial amputation in pediatric patients |
| title_fullStr | Bone spur formation in transtibial amputation in pediatric patients |
| title_full_unstemmed | Bone spur formation in transtibial amputation in pediatric patients |
| title_short | Bone spur formation in transtibial amputation in pediatric patients |
| title_sort | bone spur formation in transtibial amputation in pediatric patients |
| topic | Amputation, surgical; Child; Osteophyte. |
| url | https://scijfootankle.emnuvens.com.br/JournalFootAnkle/article/view/1849 |
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