[Amputation in the growth period].
Amputations during childhood and juvenile age differ from those in adults: Osseous over-growth can be expected especially in trans-humeral and trans-tibial stumps,--to be prevented by stump-capping. After loss of a growth-plate transosseous stumps will reduce growth; therefore it is crucial to preserve the distal femoral growth-plate and a weight-bearing knee-disarticulation stump with respect to future prosthetic function and appearance. Besides predominantly traumatic origin of acquired amputations in the growth-period longitudinal deficiencies present at birth have to attract utmost attention when decision-making for surgical conversion--e.g. of a missing tibia to a knee-disarticulation stump or severe fibular deficiency to a weightbearing Symeor modified Pirogoff-/Boyd-stump. The multiple limb-deficient child and adolescent depends on a holistic approach towards therapy provided by specialised centers.
Neff
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Abteilung für Technische Orthopädie, Dysmelie und Rehabilitation, Orthopädische Klinik der FU Berlin, Oskar-Helene-Heim.
D000293:Adolescent; D000671:Amputation, Surgical / Q000379:methods / Q000534:rehabilitation*; D000672:Amputation Stumps; D000673:Amputation, Traumatic / Q000503:physiopathology / Q000534:rehabilitation*; D002648:Child; D002675:Child, Preschool; D006128:Growth; D006694:Holistic Health; D006801:Humans; D010348:Patient Care Team
Amputationen im Wachstumsalter.