Replantation of the Midfoot in a Child-six-Year Follow-Up with Pedobarographic Analysis

Edward H. Park; Donald R. Mackay; Ernest K. Manders; Lee S. Segal

doi:10.1055/s-2007-1000112

Journal of Reconstructive Microsurgery, Inhaltsverzeichnis

J Reconstr Microsurg 1999; 15(5): 337-341
DOI: 10.1055/s-2007-1000112

ORIGINAL ARTICLE

Replantation of the Midfoot in a Child-six-Year Follow-Up with Pedobarographic Analysis

Edward H. Park, Donald R. Mackay, Ernest K. Manders, Lee S. Segal

Division of Plastic and Reconstructive Surgery and Department of Orthopaedics and Rehabilitation, Pennsylvania State University College of Medicine, Hershey, Pennsylvania, and Division of Plastic and Reconstructive Surgery, University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania

Abstract

ABSTRACT

A 22-month old child underwent successful replantation of her midfoot at the level of Chopart's joint after a traumatic lawn mower amputation. The child demonstrated good sensation and function. Heel-to-toe length was 2 cm shorter, along with anterior migration of the heel pad on the injured foot. Pedobarographic analysis at 6-year follow-up demonstrated a normal range in the dynamic distribution of foot pressure measurements, except in the region of the medial heel. With replantation more commonly considered as an option in traumatic injuries, long-term functional evaluation is important in demonstrating the success of a replantation. The patient demonstrated a good result at 6-year follow-up, but will need further evaluation until skeletal maturity is reached.

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