Application of shortened replantation combined with limb lengthening in treatment of severe amputation of middle and distal lower leg
10.7507/1002-1892.201703069
- Author:
Shuqiang XIE
1
Author Information
1. Department of Trauma Orthopedics, Zhengzhou Renji Hospital, Zhengzhou Henan
- Publication Type:Journal Article
- Keywords:
limb lengthening;
Limb replantation;
shortening deformity
- From:
Chinese Journal of Reparative and Reconstructive Surgery
2017;31(8):936-940
- CountryChina
- Language:Chinese
-
Abstract:
Results: All 12 patients recovered the same lengths of both lower extremities after shortened replantation and limb lengthening. The lengthened segments gained good bone mineralization, bony union was achieved at lengthened segments and broken end of fracture at 7-16 months (mean, 11.3 months). All patients were followed up 6 months to 5 years (mean, 2 years and 5 months). The range of motion of the knee joint were 0-5° (mean, 3°) in hyperextension and 110-140° (mean, 120°) in flexion. Except for 2 cases of ankle arthrodesis, plantar flexion angles were 15-45° (mean, 26°) and dorsiflexion angles were 10-25° (mean, 15°) in the other cases. The plantar sensation was restored to the S 3 + level in 4 cases, S 3 level in 6 cases, and S 2 level in 2 cases. At last follow-up, the affected limb function were excellent in 7 cases, good in 3 cases, fair in 2 cases according to Kofoed functional evaluation criteria.
