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Limbs Dysplasia Deformity

Amputation in childhood

Indications, levels and prosthetic considerations for amputation in children.

3 questions 1 source pages

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3 questions
Q1What are the key principles of amputation in children?▸
  • Preserve the growth plate to maintain length
  • Disarticulation rather than transosseous amputation
  • Stabilise the proximal limb
Q2Why is disarticulation preferred over transosseous amputation in children?▸
  • Avoids terminal bone overgrowth
  • Gives better suspension with the metaphyseal flare
Q3What options exist when a transosseous amputation is required?▸
  • Fashion a fibula from the amputation limb and wedge it into the tibial/fibular stump
  • For revision cases, may use tricortical iliac crest bone graft
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