Limb Reconstruction Surgery for Fibular Hemimelia
نویسنده
چکیده
Fibular Hemimelia is the most common lower extremity congenital longitudinal deficiency (frequency 1/40,000 live births). . It is associated with a constellation of deformities including foot ray deficiencies, subtalar coalition, ball and socket ankle joint, ankle joint malorientation, diaphyseal angular deformity apex anteromedial, fibular deficiency. . Congenital shortening of the tibia associated with congenital fibular deficiency is referred to as fibular hemimelia.
منابع مشابه
Severe progressive deformities after limb lengthening in type-II fibular hemimelia.
Until recently the accepted treatment of choice for severe type-II fibular hemimelia has been Syme's or Boyd's amputation. The alternative of distraction lengthening using the Ilizarov technique is now available. We report three patients (four limbs) with type-II fibular hemimelia who were treated by the Ilizarov technique and followed up for two to six years. Severe progressive procurvatum and...
متن کاملAnkle reconstruction in type II fibular hemimelia
Ankle reconstruction prior to limb lengthening for was performed in 13 patients with fibular hemimelia with complete radiological absence of the fibula (type II). There were different degrees of absence of metatarsal rays. The hindfoot deformity was a heel valgus in 12 patients and equinovarus in 1 patient. The patients' ages ranged from 9 to 26 months. Excision of the fibular anlage was perfor...
متن کاملClinical Results and Complications of Lower Limb Lengthening for Fibular Hemimelia
Fibular hemimelia is a rare but the most common congenital long bone deficiency, encompassing a broad range of anomalies from isolated fibular hypoplasia up to substantial femoral and tibial shortening with ankle deformity and foot deficiency. Most cases of fibular hemimelia manifest clinically significant leg length discrepancy (LLD) with time that requires adequate correction by bone lengthen...
متن کاملSurgical reconstruction for fibular hemimelia
Fibular hemimelia presents with foot deformity and leg length discrepancy. Previous classifications have focused on the degree of fibular deficiency rather than the type of foot deformity. Published methods of surgical reconstruction have often failed due to residual or recurrent foot deformity. The purpose of this report is to introduce new classification and reconstruction methods. The Paley ...
متن کاملManagement of fibular hemimelia: amputation or limb lengthening.
We reviewed retrospectively 22 patients (23 limb segments) with fibular hemimelia treated by amputation or limb lengthening to evaluate these methods of treatment. There were 12 boys and 10 girls, all with associated anomalies in the lower limbs. Twelve patients (13 limb segments) had early amputation and prosthetic fitting and ten had tibial lengthening using the Ilizarov technique. At the lat...
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