Simultaneous replantation of both lower legs in a child: a long-term result.
The progress of contemporary medicine and operative techniques makes it possible to successfully perform the simultaneous replantation of major segments of two extremities, especially in young patients, taking into consideration their high biologic potential. An adequate antishock management, hemotransfusion therapy in particular, at all stages of treatment is an indispensable condition of a favorable outcome of such operations. The method of lengthening the extremities using a distraction apparatus is rather promising for the improvement of functional results of replantations of major segments of the lower extremities. The use of this method makes it possible to broaden the scope of indications for such operations.
Datiashvili
R O
RO
Department of Emergency Microsurgery, Russian Academy of Medical Sciences National Surgical Research Center, Moscow.
D000673:Amputation, Traumatic / Q000601:surgery*; D000714:Anastomosis, Surgical; D001852:Bone Lengthening / Q000379:methods; D002648:Child; D002675:Child, Preschool; D005260:Female; D005500:Follow-Up Studies; D005531:Foot Deformities, Acquired / Q000601:surgery; D006801:Humans; D007866:Leg / Q000254:growth & development; D007869:Leg Injuries / Q000601:surgery*; D012092:Replantation / Q000379:methods*; D012501:Saphenous Vein / Q000293:injuries / Q000601:surgery; D013977:Tibia / Q000293:injuries / Q000601:surgery; D016909:Tibial Arteries / Q000293:injuries / Q000601:surgery; D013979:Tibial Nerve / Q000293:injuries / Q000601:surgery