Erythroplasia of Queyrat involving the distal urethra.
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Biomedical subjects
Publications and source records attributed to P W Wavak.
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Complete avulsion of the heel pad and half of the calcaneus constitutes a severe injury. The case presented here emphasizes the need to carefully assess patients with amputated tissue, because even small portions of avulsed tissue that are needed for a specific and important function should have replantation attempted. Failing to consider revascularization as the procedure of choice in some injuries eliminates the potential for primary, ideal reconstruction.
We present a series of 8 children, all less than 6 years of age, which demonstrates the feasibility of primary microvascular replantation or reconstruction of amputated or devascularized parts in children. The function and the appearance obtained were excellent, and the potential for growth was maintained. Fortunately, the vessels were larger in these young children than one would expect. It is apparent that in a healthy, stable child, the careful application of microsurgical principles is an excellent method for salvaging devascularized or amputated parts that are vital for function or appearance.