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International Orthopaedics

, Volume 43, Issue 11, pp 2601–2605 | Cite as

Iliac crest apophysis transfer to treat stump overgrowth after limb amputation in children: case series and literature review

  • Rami JahmaniEmail author
  • Craig Robbins
  • Dror Paley
Original Paper
  • 102 Downloads

Abstract

Purpose

Stump overgrowth is the main problem of limb amputation in children. Many surgical procedures have been developed to overcome the problem, but all have shown inconsistent results. The only surgical procedure that has been successful in preventing overgrowth is capping of the amputated limb with a cartilaginous cap taken from the amputated limb, usually from the head of fibula. A donor site is not available in revision cases. Iliac crest apophysis transfer was suggested to treat the condition, but has never been previously reported. The purpose of this study is to review the results of iliac crest apophysis transfer to prevent stump overgrowth.

Method

Five children with amputation stump overgrowth underwent iliac apophyseal transfer to cap the resection site of the overgrowth.

Results

Retrospective review showed that three of the five suffered recurrent stump overgrowth two to four years after the index surgery. All three were revised again. One patient was lost to follow-up.

Conclusion

Although many studies showed capping of the stump with cartilaginous cap to be successful in preventing stump overgrowth, iliac crest apophysis transfer was only successful in one of four cases available to follow-up (25%). This is not a reliable enough method to be used routinely.

Keywords

Children amputation Stump overgrowth Marquardt Iliac crest bone grafting 

Notes

Funding

This research received no specific fund.

Compliance with ethical standards

Conflict of interest

The authors declare that they have no conflict of interest.

For this type of study formal consent is not required.

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Copyright information

© SICOT aisbl 2019

Authors and Affiliations

  1. 1.Department of Special Surgery, Faculty of MedicineJordan University of Science and TechnologyIrbidJordan
  2. 2.Paley Orthopedic and Spine InstituteSt. Mary’s HospitalWest Palm BeachUSA

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