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Replantation in children

M Yildiz¹, M Sener, C Baki

¹Department of Orthopaedics and Traumatology, Karadeniz Technical University, Medical School, Trabzon, Turkey.

|January 8, 1999

Summary

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Replantation and revascularization in children show good outcomes. Revascularization had a higher survival rate (94.6%) than replantation (84.6%), with satisfactory sensory recovery and growth in replanted digits.

Area of Science:

Pediatric surgery
Microsurgery
Limb reattachment

Background:

Limb amputations in children present unique challenges for surgical reconstruction.
Assessing outcomes of limb replantation and revascularization is crucial for pediatric surgical practice.

Purpose of the Study:

To evaluate the survival rates and functional outcomes of limb replantation and revascularization in pediatric patients.
To compare the efficacy of replantation versus revascularization in children.

Main Methods:

Retrospective study of 25 children undergoing 13 replantations and 12 revascularizations.
Analysis of patient age, follow-up duration, survival rates, sensory recovery, digit growth, and functional outcomes.

Main Results:

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Overall survival rate was 84.6% for replantation and 94.6% for revascularization.
Satisfactory sensory recovery was noted in all digits.
Replanted digits showed an average growth rate of 80% compared to contralateral digits.
Functional outcomes were rated as excellent or good in 19 out of 25 cases.

Conclusions:

Replantation and revascularization are viable options for children with amputated digits.
Revascularization demonstrates a higher survival rate in this pediatric cohort.
Surgical intervention is recommended to prevent functional and cosmetic deficits in pediatric limb amputations.