[Subtotal avulsion of the lower limb after traumatic section in a 2 and a half-year-old child].
Reimplantation after subtotal section of the right lower limb under the Scarpa triangle was been attempted and was successful. Section and contusion of the femoral artery and vein required 2 end-to-end saphenous bypass grafts. The use of the lower limb is correct, after to a follow up of 4 years. The risks, inherent to all proximal section, with important muscular masses, in a small child, are described. Functional prognosis depends on three aspects: bone, vessels, and nerves. A tibial pseudarthrosis had to be operated secondarily with significant lengthening. A partial stenosis of the graft was demonstrated arteriographically. Pes equinus, a result of paralysis, has been fitted with an orthesis. This observation is almost an experimental one: what can be the future of a reimplanted lower limb in the child.
Costecalde
M
M
Gaubert
J
J
Bourse
P
P
Hornus
D
D
Fries
F
F
Thillaye du Boullay
C
C
Bardier
M
M
D000673:Amputation, Traumatic; D002675:Child, Preschool; D005263:Femoral Artery / Q000293:injuries / Q000601:surgery; D005264:Femoral Fractures / Q000601:surgery; D005268:Femoral Vein / Q000293:injuries / Q000601:surgery; D005500:Follow-Up Studies; D006801:Humans; D007869:Leg Injuries / Q000601:surgery*; D008297:Male; D011183:Postoperative Complications; D011379:Prognosis; D011542:Pseudarthrosis / Q000601:surgery; D012092:Replantation; D013978:Tibial Fractures / Q000601:surgery
Arrachement subtotal d'un membre inférieur après section traumatique sur un enfant de deux ans et demi.