Clean FRCS notes with inline figures
Amputation in children
Key points:
•1. Preserve growth plate to maintain length
•2. Disarticulation rather transosseous (avoid terminal bone overgrowth, better suspension with metaphyseal flare)
•If transosseous is a must then may try to fashion fibula from amputation limb and wedge into tibial/fibula stump. For revision cases, may use tricortical iliac crest bone graft
•3. Stabilize proximal limb