Limb Threatening Constriction Ring Syndrome of Right Leg

A 25-day-old male neonate was received in our outpatient department with constriction ring of right leg with bluish discoloration and swelling of foot and acro-syndactly of both hands. The constriction ring was threatening to the limb that already had lost digits as an in-utero event. Multiple Z-Plasties of half circumference of leg was done with release of constriction band. Wound was stitched with 5/0 vicryl rapide (Fig.1). Patient had uneventful recovery and swelling quickly subsided by 40% during two weeks of the operation (Fig.2). The patient is under close surveillance for need of multiple Z-plasties of the remaining half of the constriction ring.