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[Subtotal avulsion of the lower limb after traumatic section in a 2 and a half-year-old child].

Authors :
Costecalde M
Gaubert J
Bourse P
Hornus D
Fries F
Thillaye du Boullay C
Bardier M
Source :
Annales de chirurgie [Ann Chir] 1989; Vol. 43 (1), pp. 21-7.
Publication Year :
1989

Abstract

Reimplantation after subtotal section of the right lower limb under the Scarpa triangle was been attempted and was successful. Section and contusion of the femoral artery and vein required 2 end-to-end saphenous bypass grafts. The use of the lower limb is correct, after to a follow up of 4 years. The risks, inherent to all proximal section, with important muscular masses, in a small child, are described. Functional prognosis depends on three aspects: bone, vessels, and nerves. A tibial pseudarthrosis had to be operated secondarily with significant lengthening. A partial stenosis of the graft was demonstrated arteriographically. Pes equinus, a result of paralysis, has been fitted with an orthesis. This observation is almost an experimental one: what can be the future of a reimplanted lower limb in the child.

Details

Language :
French
ISSN :
0003-3944
Volume :
43
Issue :
1
Database :
MEDLINE
Journal :
Annales de chirurgie
Publication Type :
Academic Journal
Accession number :
2930140