Simultaneous Replantation of Both Lower Legs in a Child: 23 Years Later

ABSTRACT

Function is the single most important determinant in the assessment of the results of extremity replantations. Accordingly, the indications for extremity replantations are based on the prediction of sustained satisfactory functional outcome. There are limited reports in the literature regarding replantations of major segments of lower extremities and, particularly, long-term results of those surgeries. However, this analysis is extremely important in refinement of indications for major limb replantations. In this article, evaluation of a patient 23 years after simultaneous replantation of both lower legs is presented.

KEYWORDS

Bilateral - lower extremity - simultaneous - replantation

REFERENCES

• 1 Maurer P C, Hopfner R, Lange J et al.. Experiences with replantation of larger limbs.  Fortschr Med. 1978;  96 2181-2184
• 2 Brug E. Indication for limb replantation.  Zentralbl Chir. 1979;  104 293-309
• 3 Tamai S, Hori Y, Tatsumi Y et al.. Major limb, hand, and digital replantations.  World J Surg. 1979;  3 17-28
• 4 Lesavoy M A. Successful replantation of lower leg and foot with good sensibility and function.  Plast Reconstr Surg. 1979;  64 760-765
• 5 Usui M, Minami M, Ishii S. Successful replantation of an amputated leg in a child.  Plast Reconstr Surg. 1979;  63 613-617
• 6 Jupiter J B, Tsai T M, Kleinert H E. Salvage replantation of lower limb amputations.  Plast Reconstr Surg. 1982;  69 1-8
• 7 Usui M, Kimura T, Yamazaki J. Replantation of the distal part of the leg.  J Bone Joint Surg Am. 1990;  72 1370-1373
• 8 Datiashvili R O, Chichkin V G. Successful replantation of the lower leg after 42-hour ischemia: case report.  J Reconstr Microsurg. 1992;  8 447-453
• 9 Yaffe B, Borenstein A, Seidman D, Amit Y. Successful replantation of both legs in a child, 5-year follow up, case report.  J Trauma. 1991;  31 264-267
• 10 Kim H H, Jeong J H, Kim Y H, Seul J H, Shon O J. Rehabilitation after replantation on a 2-year-old girl with both amputated legs.  Br J Plast Surg. 2005;  58 404-408
• 11 Datiashvili R O. Simultaneous replantation of both lower legs in a child: a long-term result.  Plast Reconstr Surg. 1993;  91 541-547
• 12 Mitz V, Leviet D, Staub S et al.. Limits of indications for replantation.  Ann Chir Plast Esthet. 1983;  28 354-360
• 13 Datiashvili R O. Limb Replantations (in Russian). Moscow; Meditsina 1991
• 14 Colen S R, Romita M C, Godfrey N V, Shaw W W. Salvage replantation.  Clin Plast Surg. 1983;  10 125-131
• 15 McNeill I F, Wilson J S. The problems of limb replacement.  Br J Surg. 1970;  57 365-377
• 16 Engber W D, Hardin C A. Replantation of extremities.  Surg Gynecol Obstet. 1971;  132 901-916
• 17 Biemer E, Stock W, Duspiva W. Replantations of the lower extremity.  Chirurg. 1983;  54 361-365
• 18 Chen Z W, Zeng B F. Replantation of the lower extremity.  Clin Plast Surg. 1983;  10 103-113
• 19 Mamakos M S. Lower extremity replantation two and a half year follow up.  Ann Plast Surg. 1982;  8 305-309
• 20 Ilizarov G A. Basic principles of transosseous compression and distraction osteosynthesis.  Ortop Travmatol Protez. 1971;  32 7-15
• 21 Volkov M V, Oganesian O V. Rehabilitation of the Form and Function of the Joints and Bones (Using the Apparatus Constructed by Authors) (in Russian). Moscow; Meditsina 1985: 225-242
• 22 Datiashvili R O, Oganesian O V, Chichkin V G et al.. Rehabilitation of patients after lower limb replantation by the bone distraction method.  J Trauma. 1993;  35 368-374