Enríquez CJA, López VA, Molina MJ, Cedillo SA, Macías CCR, Labastida E

Language: Spanish
References: 6
Page: 172-174
PDF size: 115.15 Kb.

ABSTRACT

Fibular hemimelia is the most common congenital defect of unknown etiology. Various treatments are possible, including bone elongation, osteotomies and soft tissue surgery or amputation. Objective. To provide a treatment option for type II adult hemimelia with transcalcaneal pinning. Clinical case. Twenty-six year old female with congenital right leg deformity, underwent right ankle surgery at age three years with bone grafting. Poor result leading to right leg shortening, valgus deformity and ankle instability. The patient presented at the General Hospital on February of 2005 with 2/10 pain of the right hindfoot, ankle and knee that increases with ambulation. The physical exam reported claudication, severe valgus of the right hindfoot and ankle, hyperkeratosis of the medial inframalleolar and midfoot area, right genu valgum, right leg length 69 cm, left leg 78 cm, muscle strength 4/5, with increased ankle ranges of motion. Right ankle and leg X-rays showed fibular agenesia, talotibial and subtalar dislocation; AP pelvic X-rays reported obliquity, and a 7 cm descent of the right iliac crest. Treatment. Ankle and hindfoot stabilization with transcalcaneal pinning and autologous and heterologous bone graft on 05/04/05. Results. Arthrodesis at 9 months, plantigrade gait, with bracing.

REFERENCES

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