J Reconstr Microsurg 2005; 21(6): 359-364
DOI: 10.1055/s-2005-915202
Copyright © 2005 by Thieme Medical Publishers, Inc., 333 Seventh Avenue, New York, NY 10001, USA.

Successful Replantation of the Leg in a Pre-Ambulatory Infant

Neil F. Jones1 , Eon K. Shin1 , Amir Mostofi1 , William L. Oppenheim1
  • 1UCLA Hand Center, Department of Orthopaedic Surgery, Division of Plastic and Reconstructive Surgery, Los Angeles, California
Further Information

Publication History

Accepted: April 26, 2005

Publication Date:
12 August 2005 (online)

ABSTRACT

The authors report the first successful replantation of a below-knee amputation in a 7-month-old infant prior to the development of a standing and walking gait. Seven years following surgery, the child demonstrates excellent ankle and knee range of motion, has regained plantar sensation, and is able to walk, run, and jump without needing a brace. Despite a leg-length discrepancy of 5.5 cm, it is likely that future overgrowth of the injured limb will improve this discrepancy. This child has excellent potential for a successful functional outcome, given the very young age at the time of replantation and the plasticity of the central nervous system.

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Neil F JonesM.D. 

UCLA Hand Center, Department of Orthopaedic Surgery, Division of Plastic and Reconstructive Surgery

200 UCLA Medical Plaza #140, Los Angeles, CA 90095