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Children who survive meningococcemia face quality\u2010of\u2010life issues that result from limb deficiencies. Consultation with an experienced pediatric orthopedic surgeon in the early stages of the illness is vital for planning surgical approaches for amputation of the resulting necrotic tissue and for minimizing eventual tissue loss. Early surgical intervention is rarely indicated in cases of extremity gangrene unless a secondary infection is present. Allowing time for tissue demarcation and recovery can be essential for limb length preservation. Maintaining functional joints is important for long\u2010term quality of life and activities of daily living.<\/jats:p><\/jats:sec>","DOI":"10.1016\/j.aorn.2013.03.005","type":"journal-article","created":{"date-parts":[[2013,4,25]],"date-time":"2013-04-25T19:47:59Z","timestamp":1366919279000},"page":"559-578","source":"Crossref","is-referenced-by-count":6,"title":["Meningococcemia: The Pediatric Orthopedic Sequelae"],"prefix":"10.1002","volume":"97","author":[{"given":"Jane M.","family":"Wick","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ivan","family":"Krajbich","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shannon","family":"Kelly","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Todd","family":"DeWees","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2013,4,25]]},"reference":[{"volume-title":"The changing epidemiology of meningococcal diseases among U.S. children, adolescents and young adults","year":"2004","key":"e_1_2_13_1_2_2"},{"key":"e_1_2_13_1_3_2","unstructured":"Meningitis (meningococcal disease). 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