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Topic:

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Issue:

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Category:

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Title:

Wide Resection for Pediatric Extremity Vascular Malformation—A Tertiary Hospital’s Experience

Author:

Wong, Kenneth P.L. MBBCh, BAO, LRCP, SI, MMed; Tan, Tessa W.X. BSc; Chan, Lester W.M. MBBS, BSc, MMed; Mahadev, Arjandas MBBS; Cheng, Mathew H.W. MBBS

Journal:

Journal of Pediatric Orthopaedics

Date:

January 2024

Reference:

44(1): p 55-60, DOI: 10.1097/BPO.0000000000002546

Level Of Evidence:

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# of Patients:

47

Study Type:

Retrospective review

Location:

Tertiary hospital

Summary:

The study evaluates the outcomes of wide resection surgery for pediatric extremity vascular malformations (VM). It compares recurrence rates and postoperative functionality of patients undergoing this treatment.

Methods:

The study involved a retrospective review of 47 pediatric patients who underwent wide resection for VM. Data on demographics, malformation depth, location, size, and histology were collected, along with recurrence and postoperative functional outcomes. Physical function was measured using the QuickDASH and Lower Extremity Functional Scale (LEFS) questionnaires.

Exclusions:

Not specified, but only cases undergoing wide resection were included.

Results:

Recurrence rate was 2.1%. No patients had functional loss after surgery, and minor complications like tenderness, hypertrophic scars, keloids, or numbness were reported. Self-reported functionality was high, with an average QuickDASH score of 2.12 and 99.96% LEFS.

Conclusions:

Wide resection is a viable treatment option for pediatric extremity vascular malformations, particularly when surgical margins can be obtained without impairing function. This method is associated with low recurrence rates and good postoperative functionality.

Relevance:

Limitations:

Perspective:

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