Replantation and Lengthening of a Lower Leg in a 7-Year-Old Child: A Case Report |
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| Institution: | 1. Surgeon, Department of Hand Surgery, Traditional Chinese Medicine Hospital of Southwest Medical University, Luzhou, Sichuan, China;2. Surgeon, Department of Plastic and Reconstructive Surgery, First Affiliated Hospital of Xinjiang Medical University, Urumqi, Xinjiang, China;3. Surgeon, Department of Hand Surgery, Third Hospital of Hebei Medical University, Shijiazhuang, Hebei, China;1. Fellow, Department of Orthopaedic Surgery, University of Texas Southwestern Medical Center, Dallas, TX;2. Research Fellow, Department of Orthopaedic Surgery, University of Texas Southwestern Medical Center, Dallas, TX;3. Professor and Chairman, Department of Orthopaedic Surgery, University of Texas Southwestern Medical Center, Dallas, TX;4. Professor, Department of Orthopaedic Surgery, University of Texas Southwestern Medical Center, Dallas, TX;5. Professor, Department of Plastic Surgery, University of Texas Southwestern Medical Center, Dallas, TX;1. Surgeon, Table Mountain Foot and Ankle, Wheat Ridge, CO;2. Surgeon, Pueblo Ankle and Foot Care, Pueblo, CO;3. Chief Resident, North Colorado Medical Center, Greeley, CO;4. Associate Professor, University of Texas Medical Branch, Galveston, TX;1. Physiotherapist, Faculty of Health Sciences, University of Zaragoza, Zaragoza, Spain;2. Physiotherapist, Fisioterapia Pérez y Salcedo, Logroño, La Rioja, Spain;3. Physiotherapist, Faculty of Medicine and Health Sciences, International University of Catalonia, Barcelona, Spain;1. Fellow, Sutter Health Palo Alto Medical Foundation, Mountain View, CA;2. Attending Physician, Sutter Health Palo Alto Medical Foundation, Mountain View, CA;3. Assistant Clinical Professor UCLA School of Medicine, Los Angeles, CA;4. Fellow, University Foot and Ankle Institute, Santa Monica, CA;5. Assistant Professor, Department of Podiatric Medicine, Surgery, and Biomechanics, Western University College of Podiatric Medicine, Pomona, CA;1. Professor, College of Medicine, Texas A&M University, Temple, TX;2. Chief, Section of Podiatry, Central Texas Veterans Health Care System, Temple, TX;3. Staff, Baylor Scott and White Health Care System, Temple, TX;4. Podiatric Medicine and Surgery Resident, Texas A&M Health Science Center, Scott and White Health Care System, Temple, TX;5. Associate Professor, Department of Preventive Medicine and Community Health, The University of Texas Medical Branch, Galveston, TX;6. Associate Professor, Department of Orthopaedic Surgery and Rehabilitation, The University of Texas Medical Branch, Galveston, TX;1. Associate Registrar, Department of Trauma, Hand, and Reconstructive Surgery, University Medical Center Hamburg-Eppendorf, Hamburg, Germany;2. Associate Registrar, Department of Orthopaedic and Joint Surgery, Helios ENDO-Klinik Hamburg, Hamburg, Germany;3. Medical Student, Department of Surgery, University Hospital Knappschaftskrankenhaus Bochum, Bochum, Germany;4. Professor and Chief, Orthopaedic Surgery, Department of Orthopaedic and Joint Surgery, Helios ENDO-Klinik Hamburg, Hamburg, Germany;5. Medical Student, Department of Orthopaedic and Joint Surgery, Helios ENDO-Klinik Hamburg, Hamburg, Germany;6. Associate Registrar, Department of Orthopaedic and Joint Surgery, Helios ENDO-Klinik Hamburg, Hamburg, Germany;7. Surgeon, Department of Surgery, University Hospital Knappschaftskrankenhaus Bochum, Bochum, Germany;8. Surgeon and Head of Research, Department of Orthopaedic and Joint Surgery, Helios ENDO-Klinik Hamburg, Hamburg, Germany |
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| Abstract: | Replantation of the lower leg has controversial indications, but it may be considered in carefully selected patients. Although the function of prosthetic lower legs has been improved in recent decades, leg salvage remains a laudable goal. We present the case of a 7-year-old child who sustained a traumatic amputation at the level of the middle tibia with loss of the middle portion of the lower leg. We performed successful replantation, and tibia lengthening was performed starting 10 days after replantation and lasted 6 months. |
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