Lower Extremity Replantation— Two and a Half–sYear Follow-up

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Abstract
Successful replantation of the lower extremity at the above-knee level in an 11-year-old girl is reported with a two and a half–year follow-up. The patient has nerve regeneration and protective sensation to her foot. She is fully ambulatory and uses a brace to stabilize her ankle with a 5½ cm lift on her shoe. Scanograms have revealed a growth of the severed extremity and the initial 10 cm discrepancy between the two legs is now approximately 5½ cm. Lower extremity replantation is advocated in children and young adults where nerve regeneration is probable. Short ischemia time, probably less than seven hours, is essential for survival of the limb.

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