The orthopaedic management of peripheral ischaemia in meningococcal septicaemia in children

Author:

Davies M. S.1,Nadel S.1,Habibi P.1,Levin M.1,Hunt D. M.1

Affiliation:

1. St Mary’s Hospital, Praed Street, London W2 1NY, UK.

Abstract

Between March 1993 and February 1999, 14 children aged from eight months to 14.75 years were admitted to the paediatric intensive-care unit with meningococcal septicaemia in association with severe peripheral ischaemia. Of these, 13 were operated upon, eight of whom had early fasciotomies. Five children died. Of the nine survivors, one had no amputations while in the other eight 14 limb segments were amputated. We review the case histories and propose a protocol for the early management of these children.

Publisher

British Editorial Society of Bone & Joint Surgery

Subject

Orthopedics and Sports Medicine,Surgery

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