医学
介绍(产科)
截肢
软组织
羊膜带综合征
大腿
外科
康复
脚(韵律)
怀孕
物理疗法
胎儿
生物
遗传学
语言学
哲学
作者
Katherine Radcliffe,Kajal Gohil,James D Bedford
出处
期刊:Case Reports
[BMJ]
日期:2024-03-01
卷期号:17 (3): e258063-e258063
标识
DOI:10.1136/bcr-2023-258063
摘要
A neonate was born with a unique congenital lower limb dysmelia due to an abnormal presentation of amniotic band syndrome. An anomalous soft tissue tether from the plantar surface of the right foot to the right buttock caused extreme knee flexion, tibial rotation and malformation of the developing foot. This complex malformation required a multidisciplinary team (MDT) approach to decide between reconstruction and amputation. The band of tissue was released operatively at 73 days postdelivery, improving knee extension, and the tissue was banked on the thigh as a tube pedicle for future reconstruction. The patient underwent rehabilitation, which has been shown to be vital for synovial joint formation. At 18 months old, the decision was made to proceed with through-knee amputation and a prosthesis. The literature discussed shows the importance of an MDT approach in complex lower limb cases to give the best functional outcome for the patient.
科研通智能强力驱动
Strongly Powered by AbleSci AI