Journal article

The use of vascularised bone capping to prevent and treat amputation stump spiking in the paediatric population

Adrian D Murphy, Sara E Atkins, Damon J Thomas, David McCombe, Chris J Coombs

MICROSURGERY | WILEY | Published : 2017

Abstract

BACKGROUND: Overgrowth of the stump skeleton is a major complication seen in children after an amputation. In advanced cases, perforation of the bone spike through the skin can occur. Many surgical treatments have been employed to treat and prevent this, with best results seen when non-vascularised osteo-chondral bone grafts are placed to try to mimic a trans-articular amputation. We reviewed our outcomes using vascularized bone flaps to prevent and treat spiking. PATIENTS AND METHODS: Between 2000 and 2016 we carried out six vascularised osteo-cartilaginous bone capping procedures. Five patients underwent the procedure as an adjunct to primary amputation and in a single patient it was used ..

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