[Bilateral transversal humeral defect accompanied by defects of lower limbs--an attempt of improvement of upper limb's function by a reconstructive procedure, a case illustration].
Motor system is the most common localization of congenital defects. Disturbances of limb formation resulting in a total defect of a limb fragment are most difficult to treat. Transversal defects within the arm are usually unilateral and rarely accompanied by other congenital mutilations. The exceptional case is presented of a child with bilateral humeral transversal defect accompanied by transversal defect of a right thigh, and bilateral hip joint dysplasion. The etiology of the mutilation is unknown. The child was able to move on a wheel-chair as well as thanks to well innervated arm-stumps and a single foot to perform many activities of daily life, although some of them with a serious difficulty. The commonly stated decision was taken to operate the child aiming at improvement of limb's function. That was achieved by a reconstructive procedure creating a pincer-like enlargement of arm-stump's ending. Arm lengthening seems to be necessary in the near future.
Pododdział Replantacji Kończyn Szpitala sw. Jadwigi Slaskiej w Trzebnicy. jerzy.jablecki@interia.pl
Jerzy
J
Jabłecki
Leszek
L
Kaczmarzyk
Marcin
M
Syrko
D000015:Abnormalities, Multiple / Q000601:surgery*; D000293:Adolescent; D005260:Female; D006801:Humans; D006811:Humerus / Q000503:physiopathology / Q000601:surgery*; D016268:Internal Fixators; D038061:Lower Extremity Deformities, Congenital / Q000503:physiopathology / Q000601:surgery*; D019637:Orthopedic Procedures / Q000379:methods; D019651:Plastic Surgery Procedures; D038062:Upper Extremity Deformities, Congenital / Q000503:physiopathology / Q000601:surgery*
Obustronny ubytek poprzeczny ramion współistniejacy z niedorozwojem kończyn dolnych --próba poprawy funkcji kończyny górnej poprzez operacje rekonstrukcyjna, ilustracja przypadku.