[Subtotal traumatic amputation of the limb in young children. Analysis of 2 successful repairs].
Two replantations of nearly completely amputated limbs are presented. In both cases there were young children. These two success explain the necessity of limb preservation if the nerve integrity is respected. In the young child, the vital risk is lower because of the vessels, the local immunologic defense. The bone union is normal. The vascular suture with venous grafts is made with simple interrupted sutures rather than with continuous over and over sutures. The fasciotomy avoid a compartment syndrome. The bone graft growth is unforeseeable. These two case reports are nearly experimental because of the young age of the patients.
Costecalde
M
M
Service de Chirurgie Infantile et d'Orthopédie Pédiatrique, CHU de Toulouse-Purpan.
Gaubert
J
J
Durand
J
J
Barret
A
A
Hornus
D
D
Fries
F
F
Trinchero
J F
JF
Chrisment
J N
JN
Demant
J P
JP
Bardier
M
M
D000367:Age Factors; D000673:Amputation, Traumatic / Q000601:surgery*; D001132:Arm / Q000601:surgery*; D001134:Arm Injuries / Q000601:surgery; D002675:Child, Preschool; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007866:Leg / Q000601:surgery*; D007869:Leg Injuries / Q000601:surgery; D008297:Male; D012092:Replantation
Arrachement subtotal de membre chez le jeune enfant. Analyse de 2 réparations réussies.