Intrauterine gangrene of the lower extremity in the newborn: a report of two cases.

Nagai, Mary K; Littleton, Aaron G; Gabos, Peter G · J Pediatr Orthop · 2007

case_report · Level V

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Abstract

We describe 2 cases of intrauterine gangrene involving the lower extremity in 2 unrelated neonates. Both cases were complicated by prematurity, and 1 case was complicated by an intrauterine distal femur fracture and twin-twin transfusion syndrome. Both cases resulted in profound ischemic necrosis from the knee to the foot, requiring knee disarticulation. In both cases, a follow-up period of 7 years is now completed, and no further medical or surgical complications have arisen.

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