Two Cases of Pediatric Incomplete Toe Amputation

DOI
  • ONAKA Keiko
    Department of Orthopedics Surgery, Graduate School of Medicine, University of the Ryukyus
  • FUTENMA Chojo
    Department of Orthopedics Surgery, Graduate School of Medicine, University of the Ryukyus
  • KINJO Masaki
    Department of Orthopedics Surgery, Graduate School of Medicine, University of the Ryukyus
  • OKUBO Hirotaka
    Department of Orthopedics Surgery, Graduate School of Medicine, University of the Ryukyus
  • NAKASONE Motoko
    Department of Orthopedics Surgery, Graduate School of Medicine, University of the Ryukyus
  • KANAYA Fuminori
    Department of Orthopedics Surgery, Graduate School of Medicine, University of the Ryukyus

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Other Title
  • 小児足趾不全切断の 2 例

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Abstract

<p>Traumatic toe amputation has been rarely reported because of the limited number of cases, difficulty of the operative procedure and fewer problems with the absence of toes than fingers. We report toe amputation in 2 children. Case 1: A 15-year-old girl with crush type, Ishikawa classification subzoneⅡ, incomplete amputation of the first toe underwent revascularization with a vein graft. Skin necrosis was observed at the crush zone, and skin grafting was required after debridement and artificial dermis transplant. Case 2: A 7-year-old girl with crush type, Ishikawa classification subzoneⅡ, incomplete amputation of the fifth toe underwent revascularization. Skin necrosis was observed at the tip of the toe and the distal phalanx was resorbed partially, but the toe survived.</p>

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