Case: Stump overgrowth is the most common complication in skeletally immature amputees. Various techniques including capping the amputated stump have been used to prevent it but have been associated with variable rates of recurrence of bony overgrowth. We report a technique of intercalary tibial shortening prophylactically to avoid stump overgrowth in some specific situations in children with traumatic crush injuries of the leg/foot.
Conclusion: The technique described in this case report not only provides more soft tissue coverage but also at 1-year follow-up, successfully prevented one of the most frequent complications seen in pediatric post-traumatic amputation, the stump overgrowth.
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