先天性ひ骨欠損症の観血的治療経験

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タイトル別名
  • Surgical Treatment for Congenital Fibular Deficiency

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We reviewed the results of sugical treatment in three children with congenital deficiency of the fibula. The age at the time of surgery ranged from two to thirteen, and the follow-up period ranged from seven to ten years. They were each classified Type I A, Type I B, and Type II according to the classification of Achterman and Kalamchi. Two patients who had a stable hip and a plantigrade foot underwent langthening of the tibia or the femur and tibia, and one patient who had congenital anomalies of the foot underwent Syme amputation. All of them needed further corrective surgery. But at the final follow-up, all patients were satisfied with their daily life, and had no pain and limping. We suggest that estimation of foot deformity is essential for the surgical treatment of congenital deficiency of the fibula and various management methods should be designed for leg lengthening.

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