ABSTRACT
Although the burden of traumatic lower limb amputation (TLLA) has been well described when it concerns the adult population, there is an evident scarcity in literature concerning this matter in the pediatric population. Our objective is to review the surgical burden and long-term outcome of lower limb amputation among pediatric trauma victims who have experienced lower extremity amputation as the result of an accident or injury. A PICO format was utilized. The population of interest includes only children and adolescents suffering TTLA. The generation of data to be reviewed was executed using MEDLINE and PUBMED. Altogether, all data that includes trauma in the pediatric population in the timeframe 1949-2019 was revised and yielded 13 observational studies. This systematic review includes statistical comparisons between the group of interest of this review and the adult population. Other comparisons include those between the different sources. Our outcomes include a consistent pattern. This consistency between different studies was opposed by certain contradictions. Disparity between the different reviewed studies was displayed in terms of the distribution of the most cited complications of TLLA among different sources and the frequency of additional surgery. The dichotomy in the results of the reviewed studies highlights a gap in the data relevant to TLLA in the pediatric population. In addition to the discrepancies in the available literature, the significant physio-anatomical differences between the pediatric and the adult populations which are relevant to TLLA highlight a requirement for further studies regarding TTLA in the pediatric age group.
Alors que les conséquences d'une amputation de membre inférieur (AMI) en contexte traumatique ont bien été décrites chez l'adulte, les données manquent chez l'enfant. Nous avons dans ce but réalisé une revue PubMed (1949-2019), à la recherche des conséquences à court et long termes d'une AMI chez l'enfant et l'adolescent. Nous n'avons trouvé que 13 études, observationnelles, aux résultats parfois contradictoires. Les types de complication et la nécessité de reprise chirurgicale étaient aléatoirement retrouvées et semblaient différentes de celles décrites chez l'adulte. Nous avons réalisé une analyse statistique versus AMI chez l'adulte, peu concluante. Cette comparaison difficile entre adultes et enfants ayant subi une AMI, quand les deux populations sont différentes, pointe la nécessité d'études spécifiques concernant l'AMI chez l'enfant.
