Reconstructive Microsurgery Program
Expert Pediatric Reconstructive Care
The Reconstructive Microsurgery Program at Children’s Mercy provides highly specialized surgical care for children with complex injuries or conditions affecting the arms, hands, legs, or feet. Our program is part of the Department of Orthopedic Surgery and the Hand Surgery Division.
Our goal is to help your child heal, regain function, and grow as safely and normally as possible — while supporting families every step of the way.
Team-Based Care You Can Count On
One of the greatest strengths of our Reconstructive Microsurgery Program is our team-based approach to care.
From the first visit, your child is cared for by a dedicated care team that works together and shares one clear plan. This team may include:
- Pediatric hand and reconstructive surgeons with advanced microsurgery training.
- Nurse practitioners and physician assistants.
- Nurses and nurse coordinators.
- Occupational therapists.
- Wound care specialists.
A care plan is created early, often soon after the first consultation, and guides care through every phase of treatment and recovery. The same care team follows your child over time, so we understand your history and can respond quickly to questions or concerns.
This coordinated approach provides consistency, clear communication, and peace of mind for families.
Children may need reconstructive surgery due to a birth condition, injury, or cancer treatment. These conditions can impact how a child moves, functions, or grows. Our pediatric hand and reconstructive surgeons partner closely with families and referring clinicians to recommend treatment options that offer healing today and healthy development in the future.
Microsurgery uses specialized tools and magnification to repair very small blood vessels and nerves. This advanced technique allows surgeons to transfer healthy tissue from one area of the body to another. This approach, called free flap reconstruction, is often used for severe injuries or limb salvage and can help restore both function and appearance of an arm or leg.
Conditions We Treat
Our pediatric reconstructive microsurgery team treats a wide range of complex conditions, including:
- Serious injuries to the arms or legs.
- Bone or soft tissue tumors affecting the limbs.
- Congenital limb differences (conditions present at birth).
- Care following amputation.
- Limb salvage (preserving an injured arm or leg).
- Reattachment of fingers or limbs after injury.
Each child’s treatment plan is personalized for movement, strength, healing, and long-term growth.
Working With Other Pediatric Specialists
When needed, our reconstructive surgeons collaborate closely with other pediatric experts, including:
- Orthopedic oncology specialists
- Trauma surgeons
- Plastic surgeons
- Anesthesiologists
- Pediatric intensive care physicians
- Rehabilitation specialists
What Families Can Expect
Before your visit, the care team reviews medical records, imaging, and referral information.
During the appointment, families meet with members of the care team to discuss the child’s condition and treatment options. When appropriate, additional specialists may join the visit.
If surgery is recommended, the care team supports families with planning, scheduling, and clear communication before and after the procedure. We want families to feel informed and confident throughout the journey.
Hospital Stay and Recovery
- Most children stay in the hospital for about one week after surgery.
- Children are cared for in the Pediatric Intensive Care Unit (PICU) immediately after surgery.
- Once stable, they transition to an inpatient unit to continue recovery.
- Before going home, families receive clear instructions, follow-up plans and support resources.