ABSTRACT
Fibular hemimelia is a congenital disorder characterized by partial or complete absence of the fibula. It ranges from mildfibular shortening to bilateral involvement with associated defects of the femur, tibia, ankle and foot. This article is a prospective study of 14 patients [15 limb segments] with fibular hemimelia treated by limb lengthening and ankle reconstruction either by distal end of the fibula if present, contra lateral head of fibula or remnants of cartilaginous anlagen. Application of Ilizarov frame was done to start lengthening and correction of foot deformity. There were 7 males and 7 females. At the latest follow-up, the 14 patients were functioning well and had few complications. The findings suggest that these approaches are a more effective method of management of fibular hemimelia. The Ilizarov method is an attractive alternative for those patients
Subject(s)
Humans , Male , Female , Ectromelia/congenital , Fibula/surgery , Bone Lengthening , Ilizarov Technique , Follow-Up Studies , Postoperative ComplicationsABSTRACT
Clinical description of two children admitted to the Al-Mansoor Childiens Teaching Hospital with phocomelia [seal limbs] during the year 1993, one with associated throimbocytopenia [megakaryocytes aplasia]. Morphol = gical/aetiological approach to the causes of congenital limb defects and management of such rare conditions are discussed