Management of fibular hemimelia

Fibular hemimelia is a congenital longitudinal deficiency that represents a spectrum of deformities. The management of this condition is controversial and our treatment options are changing with developments in limb reconstruction techniques. For the severely affected child with a predicted limb len...

Full description

Saved in:
Bibliographic Details
Published in:Der Orthopäde 1999-12, Vol.28 (12), p.1034-1044
Main Author: Bradish, C F
Format: Article
Language:ger
Subjects:
Amputation
Bone Lengthening - methods
Child
Child, Preschool
Ectromelia - classification
Ectromelia - surgery
Female
Fibula - abnormalities
Fibula - surgery
Humans
Knee Joint - abnormalities
Leg Length Inequality - classification
Leg Length Inequality - surgery
Male
Tibia - abnormalities
Tibia - surgery
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:Fibular hemimelia is a congenital longitudinal deficiency that represents a spectrum of deformities. The management of this condition is controversial and our treatment options are changing with developments in limb reconstruction techniques. For the severely affected child with a predicted limb length discrepancy greater than 25 cm at maturity and with a poor foot and ankle amputation is generally agreed to be the best option. For less severely affected limbs, particularly those with a predicted limb discrepancy of 10 cm or less and with a foot with 3 or more rays which can be made plantigrade, limb reconstruction is recommended. Controversy remains about the best way to manage children with an intermediate deformity.
ISSN:0085-4530