Digit Amputation.

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Abstract

Conflict of interest statement: Disclosure: Lihan Zhang declares no relevant financial relationships with ineligible companies. Disclosure: Chaudhary Ehtsham Azmat declares no relevant financial relationships with ineligible companies. Disclosure: Clifford Buckley declares no relevant financial relationships with ineligible companies. 20. J Am Acad Orthop Surg. 2021 Jul 15;29(14):e702-e713. doi: 10.5435/JAAOS-D-20-01283. Principles of Amputation Surgery, Prosthetics, and Rehabilitation in Children. Louer CR Jr(1), Scott-Wyard P, Hernandez R, Vergun AD. Author information: (1)From the Department of Orthopedic Surgery, Vanderbilt University, Nashville TN (Louer), the Department of Physical Medicine and Rehabilitation, Rady Children's Hospital, University of California-San Diego, San Diego, CA (Scott-Wyard), the Department of Orthotics and Prosthetics, Children's Healthcare of Atlanta, Atlanta GA (Hernandez), and the Department of Orthopedic Surgery, University of North Carolina School of Medicine, Chapel Hill, NC (Vergun). Pediatric patients may benefit from extremity amputations with potential prosthetic fitting when addressing limb deficiencies, trauma, infection, limb ischemia, or other pathologies. The performance of a quality amputation is a fundamental skill to an orthopaedic surgeon, yet avoidance of pitfalls can be elusive in children. The need for surgical precision and sound decision-making is amplified in pediatric amputations, where the skeleton is dynamic and growing, anatomy can be miniscule and (in the case of congenital anomalies) variable. The principles that guide amputation level and technical approach are unique in children. Despite this, descriptions of these procedures as they should be applied to a growing or congenitally deficient skeleton are lacking. Furthermore, surgeons must also understand the unique prosthetic and psychosocial considerations for children. A collaborative approach between the surgeons, rehabilitation physicians, prosthetists, therapists, and families is essential to ensuring optimal results. Copyright © 2021 by the American Academy of Orthopaedic Surgeons. DOI: 10.5435/JAAOS-D-20-01283