title: [Replantation of both amputated shanks in a child--13 years of observations].
abstract: The case of a patient aged 16 is presented who had 13 years ago both of her shanks amputated by a harvester and successfully replanted. The total ischaemia time was 11 hours. The replantation was simultaneously performed by two teams. Only one main artery (posterior tibial a.) and vein were anastomosed, as well as one nerve (posterior tibial n.). The late result was qualified as grade I according to Chen's assessment scale. The patient can walk without limping on any surface using ordinary shoes, being able to crouch and stand on the toes. Two-point--discrimination test taken on big toes was 15 and 17 mm. The case confirms a commonly shared opinion about positive results of replantations in children. The replantations should be performed exclusively in the specialised centres having at their command more then one of the replantation team.
authors.affiliation: Ośrodek Replantacji Kończyn, Mikrochirurgii, Chirurgii Reki, Oddział Chirurgii Ogólnej w Trzebnicy.
authors.forename: Jerzy
authors.initials: J
authors.lastname: Jabłecki
authors.forename: Janusz
authors.initials: J
authors.lastname: Kaczmarzyk
authors.forename: Ryszard
authors.initials: R
authors.lastname: Kocieba
mesh_terms: D000293:Adolescent; D000673:Amputation, Traumatic / Q000601:surgery*; D005121:Extremities / Q000601:surgery*; D005260:Female; D006801:Humans; D020127:Recovery of Function; D012092:Replantation / Q000379:methods; D013997:Time Factors; D016896:Treatment Outcome
vernacular_title: Replantacja obu amputowanych goleni u dziecka--13 lat obserwacji.