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Lower-Limb Amputation in Children and Adolescents—A Rare Encounter with Unique and Special Challenges

Background/Aim: The pattern of lower-limb amputation, indications, complications, and revision in pediatric cases differs globally. Therefore, we conducted this study to describe the patterns of lower-limb amputation at our institution. Methods: During a set period between 2010 and 2020, adolescent...

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Autores principales: Horsch, Axel, Gleichauf, Svenja, Lehner, Burkhard, Ghandour, Maher, Koch, Julian, Alimusaj, Merkur, Renkawitz, Tobias, Putz, Cornelia
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9320991/
https://www.ncbi.nlm.nih.gov/pubmed/35883989
http://dx.doi.org/10.3390/children9071004
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author Horsch, Axel
Gleichauf, Svenja
Lehner, Burkhard
Ghandour, Maher
Koch, Julian
Alimusaj, Merkur
Renkawitz, Tobias
Putz, Cornelia
author_facet Horsch, Axel
Gleichauf, Svenja
Lehner, Burkhard
Ghandour, Maher
Koch, Julian
Alimusaj, Merkur
Renkawitz, Tobias
Putz, Cornelia
author_sort Horsch, Axel
collection PubMed
description Background/Aim: The pattern of lower-limb amputation, indications, complications, and revision in pediatric cases differs globally. Therefore, we conducted this study to describe the patterns of lower-limb amputation at our institution. Methods: During a set period between 2010 and 2020, adolescent patients undergoing lower-limb amputation within the orthopedic department of Heidelberg University Hospital were retrospectively collected and analyzed. The retrieved dataset included two parts: data on lower-limb amputations and data on subsequent complications and revision surgeries at the same time. Besides patients’ general information (age, gender), the dataset included data regarding amputation patterns (number, indications, and level of amputation, complications, and revision surgeries and their indications). Results: Twenty-two patients undergoing lower-limb amputation were examined, of which the majority were males (63.6%) with a mean age of 12 (5.1) years. Tumor was the most common indication for amputation (72.7%), and transfemoral amputation was the most frequent level (68.2%). Complications occurred in 10 patients, mostly due to stump impalement or bony overgrowth. Of all recorded patients requiring revision, nine were regarding bone and one case regarding soft tissue. Conclusions: Lower-limb amputation in adolescents is a rare encounter and it is commonly indicated due to bone tumors. The thigh is the most common level of amputation. Postoperative complications are frequent, mainly secondary to bony overgrowth, and often require revision surgery.
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spelling pubmed-93209912022-07-27 Lower-Limb Amputation in Children and Adolescents—A Rare Encounter with Unique and Special Challenges Horsch, Axel Gleichauf, Svenja Lehner, Burkhard Ghandour, Maher Koch, Julian Alimusaj, Merkur Renkawitz, Tobias Putz, Cornelia Children (Basel) Article Background/Aim: The pattern of lower-limb amputation, indications, complications, and revision in pediatric cases differs globally. Therefore, we conducted this study to describe the patterns of lower-limb amputation at our institution. Methods: During a set period between 2010 and 2020, adolescent patients undergoing lower-limb amputation within the orthopedic department of Heidelberg University Hospital were retrospectively collected and analyzed. The retrieved dataset included two parts: data on lower-limb amputations and data on subsequent complications and revision surgeries at the same time. Besides patients’ general information (age, gender), the dataset included data regarding amputation patterns (number, indications, and level of amputation, complications, and revision surgeries and their indications). Results: Twenty-two patients undergoing lower-limb amputation were examined, of which the majority were males (63.6%) with a mean age of 12 (5.1) years. Tumor was the most common indication for amputation (72.7%), and transfemoral amputation was the most frequent level (68.2%). Complications occurred in 10 patients, mostly due to stump impalement or bony overgrowth. Of all recorded patients requiring revision, nine were regarding bone and one case regarding soft tissue. Conclusions: Lower-limb amputation in adolescents is a rare encounter and it is commonly indicated due to bone tumors. The thigh is the most common level of amputation. Postoperative complications are frequent, mainly secondary to bony overgrowth, and often require revision surgery. MDPI 2022-07-04 /pmc/articles/PMC9320991/ /pubmed/35883989 http://dx.doi.org/10.3390/children9071004 Text en © 2022 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Horsch, Axel
Gleichauf, Svenja
Lehner, Burkhard
Ghandour, Maher
Koch, Julian
Alimusaj, Merkur
Renkawitz, Tobias
Putz, Cornelia
Lower-Limb Amputation in Children and Adolescents—A Rare Encounter with Unique and Special Challenges
title Lower-Limb Amputation in Children and Adolescents—A Rare Encounter with Unique and Special Challenges
title_full Lower-Limb Amputation in Children and Adolescents—A Rare Encounter with Unique and Special Challenges
title_fullStr Lower-Limb Amputation in Children and Adolescents—A Rare Encounter with Unique and Special Challenges
title_full_unstemmed Lower-Limb Amputation in Children and Adolescents—A Rare Encounter with Unique and Special Challenges
title_short Lower-Limb Amputation in Children and Adolescents—A Rare Encounter with Unique and Special Challenges
title_sort lower-limb amputation in children and adolescents—a rare encounter with unique and special challenges
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9320991/
https://www.ncbi.nlm.nih.gov/pubmed/35883989
http://dx.doi.org/10.3390/children9071004
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