A 17-year follow-up of replantation of a completely amputated leg in a child: case report.
With special reference to skeletal growth, a 17-year follow-up study of a lower-leg replantation in a four-year-old boy is reported. The patient maintained good cosmesis and function; however, foot size on the affected side was 1.5 cm smaller than the contralateral side, and leg length was 1.2 cm shorter than on the normal side. A Cybex II study disclosed that the patient had almost half-standard strength of the evertors at 30 deg/sec and of the plantar flexors at 20 and 120 deg/sec on the involved side. According to these findings on late follow-up of a replanted foot in a child, replantation in a growing child apparently has adverse influences on skeletal growth and muscle strength around the ankle joint, even when the original procedure has been carried out under almost ideal conditions.
Masuda
K
K
Department of Orthopedic Surgery, Sapporo Medical University, Japan.
Usui
M
M
Ishii
S
S
D000328:Adult; D000673:Amputation, Traumatic / Q000503:physiopathology / Q000601:surgery*; D002675:Child, Preschool; D005500:Follow-Up Studies; D005528:Foot / Q000000981:diagnostic imaging; D006801:Humans; D007866:Leg / Q000254:growth & development / Q000601:surgery*; D007869:Leg Injuries / Q000000981:diagnostic imaging / Q000503:physiopathology / Q000601:surgery*; D007870:Leg Length Inequality / Q000209:etiology; D008297:Male; D009119:Muscle Contraction / Q000502:physiology; D011859:Radiography; D012092:Replantation; D013997:Time Factors