The orthopaedic implications of peripheral limb ischaemia in infants and children

The Journal of Bone and Joint Surgery. British Volume
M J FarrarA Azmy

Abstract

Peripheral limb ischaemia is rare in children. We have treated only 12 infants and children with this condition in the past 15 years at the Royal Hospital for Sick Children in Glasgow. There were nine neonates and three older children. Most were suffering from life-threatening illnesses or severe infection. Two were born with ischaemic arms with no apparent cause. We have analysed the factors leading to ischaemia, the outcome of the initial treatment and the later orthopaedic problems. Two required amputation of both legs, one of an arm, two of feet and one of toes. Two had skin grafts. All surgery was performed after demarcation was well established and delayed closure was used after amputation. Five children developed limb-length discrepancy or an angular deformity. To date two have required additional corrective surgery.

Citations

Sep 17, 2010·The Journal of Bone and Joint Surgery. American Volume·Federico CanaveseBrett J LaFleur
Oct 4, 2011·Journal of Children's Orthopaedics·E NectouxB Herbaux
Aug 24, 2013·Foot & Ankle Specialist·Dishan Singh, Amanda Swann
Jul 20, 2007·Medicinski pregled·Jasmina Dindić, Slobodan Obradović
Jun 23, 2007·Journal of Pediatric Orthopedics·Mary K NagaiPeter G Gabos
Jan 28, 2006·Journal of Pediatric Orthopedics·Christopher E Bache, Ian P Torode

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