A comparison of functional outcome between amputation and extension prosthesis in the treatment of congenital absence of the fibula with severe limb deformity.
Fuente
Este artículo es originalmente publicado en:
https://www.ncbi.nlm.nih.gov/pubmed/28904639
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5584502/
http://online.boneandjoint.org.uk/doi/full/10.1302/1863-2548.11.160264
De:
Calder P1, Shaw S2, Roberts A3, Tennant S1, Sedki I2, Hanspal R2, Eastwood D1.
J Child Orthop. 2017 Aug 1;11(4):318-325. doi: 10.1302/1863-2548.11.160264.
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Abstract
PURPOSE:
Complete fibula absence often presents with significant lower-limb deformity. Parental counselling regarding management is paramount in achieving the optimum functional outcome. Amputation offers a single surgical event with minimal complications. This study compares outcomes with an amputation protocol to those using an extension prosthesis.
CONCLUSION:
Childhood amputation for severe limb length inequality and foot deformity in congenital fibula absence offers excellent short-term functional outcome with prosthetic support. The tibial kyphus does not need routine correction and facilitates prosthetic suspension. Accommodative extension prostheses offer reasonable long-term function but outcome scores are lower.
KEYWORDS:
Syme amputation; congenital absence of fibula; extension prosthesis; fibula hemimelia
Resumen
- PMID: 28904639 PMCID: PMC5584502 DOI: 10.1302/1863-2548.11.160264