report of five cases of paraxial fibular hemimelia with emphasis on conservative management

To elucidate the clinical spectrum of fibular hemimelia and discuss management issues. Design: Retrospective Hospital based case series involving five cases of Paraxial Fibular Hemimelia. Setting: Surgical Ward, Department of Paediatric Surgery, Children's Hospital, P. I. M. S. Subjects: Five consecutive cases of Fibular Hemimelia studied in the Paediatric Surgery Department. Main Outcome Measures: Clinical extent of the limb deformity, functional disability, associated malformations. All the patients were males. Average age of patients at the time of presentation was 4.2 months. 80% [n=4] of the patients had unilateral limb deficiency, while one patient [Case#4] had bilateral limb deficiency. Most of the cases had associated skeletal abnormalities. The most common associated abnormality was absence of lateral rays of foot in the same limb. Conclusions: Management of these patients is a real challenge because of reluctance for any form of ablative surgery and poor facilities for artificial prosthesis. In older children, we advised conservative management with surgical shoes and splints

Management of an ancurysmal bone cyst

Aneurysmal bone cyst is a rare, non-neoplastic, expansile bony lesion that mainly affects children and young adults. It may cause diagnostic confusion with a bone tumor. These cysts are frequently treated surgically, but recurrence is very common and surgery is hazardous, especially when the lesion is adjacent to the growth plate. A case report of an aneurysmal bone cyst in an 11 year old child is presented with serial radiographic changes and discussion on its management

Congenital longitudinal deficiency of femur: an experience with three cases

We encountered three children with congenital longitudinal deficiency of femur at the Children's Hospital, between January 1987 to December 1994. The deficiencies were of varying severity ranging from proximal focal deficiency to complete aplasia. The various associated abnormalities and management strategies are discussed along with a review of literature

rare case of tibial hemimelia: associated problems and management

Case report of a patient with unilateral complete tibial hemimelia. Importance of genetic counselling is emphasized. Various reconstructive procedures are discussed. Below knee amputation for such patients in our culture is justified owing to the fact that it provides a broad base for squatting. A review of literature is also presented