Reconstruction of large defects of the upper limb in children
Severe post-traumatic defects in the upper limbs of children are rather rare. Literature on the subject is scarce and it is difficult to conduct an exhaustive review because of the heterogeneity of the reported series. While there is reasonable agreement on indications and surgical strategies, data on complications and failures are quite diverse (Canales et al 1991, Raimondi et al 2000, Romaña et al 2000, Yücel et al 2001). Furthermore, the special consideration for anaesthesia and pharmacological treatment of the young patient are rarely discussed (Bell et al 1992, Mollit 2002).