Prevention of Stump Overgrowth in Pediatric Patients with Traumatic Crush Injury of the Leg: A Case Report.

Q4 Medicine JBJS case connector Pub Date : 2024-12-20 eCollection Date: 2024-10-01 DOI:10.2106/JBJS.CC.24.00300
Gourav Jandial, Terence Kwan-Wong, Christiaan J A van Bergen, Kishore Mulpuri, Anthony Cooper
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Abstract

Case: Stump overgrowth is the most common complication in skeletally immature amputees. Various techniques including capping the amputated stump have been used to prevent it but have been associated with variable rates of recurrence of bony overgrowth. We report a technique of intercalary tibial shortening prophylactically to avoid stump overgrowth in some specific situations in children with traumatic crush injuries of the leg/foot.

Conclusion: The technique described in this case report not only provides more soft tissue coverage but also at 1-year follow-up, successfully prevented one of the most frequent complications seen in pediatric post-traumatic amputation, the stump overgrowth.

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小儿腿部外伤性挤压伤残肢过度生长的预防:1例报告。
病例:截肢残端骨质增生是骨骼尚未发育成熟的截肢者最常见的并发症。人们曾采用包括覆盖截肢残端在内的各种技术来预防骨赘增生,但骨赘增生的复发率各不相同。我们报告了一种胫骨髓间短缩预防性技术,可在某些特殊情况下避免腿/足部外伤挤压伤患儿的残端过度生长:结论:本病例报告中描述的技术不仅提供了更多的软组织覆盖,而且在一年的随访中成功预防了小儿创伤截肢后最常见的并发症之一--残端过度生长。
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来源期刊
JBJS case connector
JBJS case connector Medicine-Medicine (all)
CiteScore
0.60
自引率
0.00%
发文量
319
期刊介绍: JBJS Case Connector helps improve patient care by providing the medical community with a journal that harnesses technology to provide information tools for discovery and reporting of unusual musculoskeletal problems, findings, treatment, and outcomes. Co-edited by Thomas W. Bauer, MD, PhD, and Ronald W. Lindsey, MD, JBJS Case Connector assists orthopaedic surgeons in the search for precedents, connections, and trends in their efforts to improve patient care. Using this unique journal, surgeons can find the commonalities between cases, benefit from the experience of their peers, and filter case information by many important variables in order to provide the best possible care for orthopaedic patients. This cross-referenced online journal includes thousands of orthopaedic case reports. It compiles symptoms, conditions, and demographic details to empower surgeons to find cases similar to theirs. Surgeons can mine the database to reveal emerging trends and identify patterns, distinguishing between truly rare cases and repeated, related single instances of a larger problem. The JBJS Case Connector Image Quiz feature provides interactive quizzes based on images from content published by JBJS and includes a discussion area for further exploration of ideas and concepts. The JBJS Image Quiz app for iPad and iPhone is available in the App Store. Contributions to JBJS Case Connector are welcomed from anywhere in the world and are considered on their merits. Articles must be written in English and should be submitted as outlined in the Instructions to Authors. All authors must abide by the JBJS ethics policies and all submissions to JBJS Case Connector are covered by the JBJS embargo policy.
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