Replantation of the midfoot in a child--six-year follow-up with pedobarographic analysis.
A 22-month old child underwent successful replantation of her midfoot at the level of Chopart's joint after a traumatic lawn mower amputation. The child demonstrated good sensation and function. Heel-to-toe length was 2 cm shorter, along with anterior migration of the heel pad on the injured foot. Pedobarographic analysis at 6-year follow-up demonstrated a normal range in the dynamic distribution of foot pressure measurements, except in the region of the medial heel. With replantation more commonly considered as an option in traumatic injuries, long-term functional evaluation is important in demonstrating the success of a replantation. The patient demonstrated a good result at 6-year follow-up, but will need further evaluation until skeletal maturity is reached.
Park
E H
EH
Department of Orthopaedics and Rehabilitation, Pennsylvania State University College of Medicine, Hershey 17033, USA.
Mackay
D R
DR
Manders
E K
EK
Segal
L S
LS
D000673:Amputation, Traumatic / Q000601:surgery*; D002648:Child; D005260:Female; D005500:Follow-Up Studies; D018409:Foot Injuries / Q000000981:diagnostic imaging; D005545:Forefoot, Human / Q000000981:diagnostic imaging / Q000293:injuries* / Q000601:surgery*; D005684:Gait; D006801:Humans; D007223:Infant; D011859:Radiography; D012092:Replantation