KHÂU NỐI VI PHẪU CHI ĐỨT LÌA DẬP NÁT VÀ NHIỄM BẨN Ở TRẺ EM – BÁO CÁO KẾT QUẢ PHỤC HỒI CHỨC NĂNG LÂU DÀI QUA HAI TRƯỜNG HỢP

Abstract

Objective: Sharing experience in debridement under microsurgical technique aiming to save crushed and contaminated amputated limbs in children for achievement of long-term functional results through 2 cases. Methods: Report two cases of amputated limbs with severe soft tissue damage, carefully debridement under microscope and microsurgical reanimation at the Ho Chi Minh City Orthopedic and Trauma Hospital and additional surgical techniques to obtain functional results over time. Results: Both cases preserved the limb despite the risk of infection occurring during the postoperative period, leading to good survival of the hand and the foot after surgery. With additional surgical techniques later, the recovery function was more acceptable and met the needs of daily life. The hand case was reoperated to repair the bone and tendon after 3 years. The foot case had nerve graft surgery after 6 months. Conclusion: Thorough microscopic debridement is a key factor in the success of reattaching crushed and contaminated amputated limbs in children as well as avoiding bad scarring due to foreign bodies to help with better reconstruction and rehabilitation later.