Limb Amputations

What are the types of pediatric limb amputations?

 

What are common causes of limb amputations in children?

The other type of childhood limb abnormality results when a child’s limb needs to be amputated due to trauma, infection, cancer or other disease. One leading cause of amputation in a child one to 4 years of age is from power tools such as lawn mowers or other equipment. In young teenagers, amputation due to tumors such as Ewing’s and osteogenic sarcoma are the most common. Males tend to get these tumors more commonly; they outnumber females three to two.

Limb amputation in these cases can be especially difficult emotionally and physically, not only for the child but also for the parents. When discussing amputations with their doctor, it is important for the family and child to understand that many options exist. Considerations include ensuring that the underlying disease process is not only adequately treated but also leaves the child with the best functional limb possible. This may mean having a limb that fits a prosthesis well and functions optimally for the child. In contrast, some children may elect not to use a prosthesis at all, preferring to perform most tasks with their residual limb.

If the situation permits, a family conference with the surgical and rehabilitation team allows parents and, when appropriate, the child to be informed regarding the rationale, technique and rehabilitation options that exist as a result of amputation. This gives family members the opportunity to ask many questions, many of which may deal with what the child will be able to accomplish following the surgery. Social work services as well as counseling are also made available during this time, which will help with the adjustment process once the amputation takes place.