[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 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.
Bradish
C F
CF
Royal Orthopedic Hospital, Birmingham, UK.
D000671:Amputation, Surgical; D001852:Bone Lengthening / Q000379:methods; D002648:Child; D002675:Child, Preschool; D004480:Ectromelia / Q000145:classification / Q000601:surgery*; D005260:Female; D005360:Fibula / Q000002:abnormalities* / Q000601:surgery; D006801:Humans; D007719:Knee Joint / Q000002:abnormalities; D007870:Leg Length Inequality / Q000145:classification / Q000601:surgery*; D008297:Male; D013977:Tibia / Q000002:abnormalities / Q000601:surgery