Upper Limb Congenital Gangrene ? 3D-Printed Prosthesis: A Case Report

Vedovi Ermes1 , Corain Massimo2 , Caramori Alberto3 , Pulin Massimo4 and Angelo Pietrobelli5,6*

Department of Neurosciences, Biomedicine and Movement Sciences, Rehabilitation Unit, University of Verona, Verona, Italy 2 Hand Surgery and Microsurgery Unit, Verona University Hospital, Verona, Italy 3 Department of Neurosciences and Movement Sciences, University of Verona, Neurorehabilitation Unit, Neuromotor and Cognitive Rehabilitation Research Centre (CRRNC), Verona, Italy 4 Orthomedica Officina Ortopedica, Verona, Italy 5 Department of Surgical Sciences, Dentistry, Gynecology and Pediatrics, Pediatric Unit, University of Verona, Verona, Italy 6 Pennington Biomedical Research Center, Baton Rouge, LA, USA

^*Correspondance to: Angelo Pietrobelli 

 PDF  Full Text DOI: 10.25107/2474-1647.2947

Abstract

Congenital gangrene at limb level is a rare event. More than 100 cases of perinatal gangrene have been reported in literature only 10% of them were intrauterine gangrene. Congenital or intrauterine gangrene is the onset of necrosis before birth and neonatal gangrene is acute ischemia that occurs during the birth evolving in necrosis if the cause of ischemia is not removed. The causes of perinatal gangrene include hypercoagulable states, thromboembolic disease, maternal diabetes, congenital rubella and varicella, constriction bands, umbilical artery or peripheral catheterization, septicemia, and necrotizing fasciitis. A newborn girl was referred to our attention due to an advanced state of distal ischemia at the elbow level. The ring and the fingers had a small advanced necrosis stage with several blisters and 1 cm below the elbow there was a semi-circumferential fibrotic line involving the cutaneous and subcutaneous tissue.

Keywords

Congenital gangrene; Prosthesis; Newborn; 3D-printed

Cite the article

Ermes V, Massimo C, Alberto C, Massimo P, Pietrobelli A. Upper Limb Congenital Gangrene ? 3D-Printed Prosthesis: A Case Report. Clin Surg. 2020; 5: 2947.