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Treatment of Popliteal Pterygium Using an Ilizarov External Fixator
Popliteal pterygium syndrome is a rare congenital disorder that consists of popliteal webs and craniofacial, genitourinary and extremity anomalies. Only moderate successful surgical excision of the fibrotic band within the popliteal web has been reported because the nerves and vessels in the affecte...
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Formato: | Texto |
Lenguaje: | English |
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The Korean Orthopaedic Association
2009
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2784965/ https://www.ncbi.nlm.nih.gov/pubmed/19956482 http://dx.doi.org/10.4055/cios.2009.1.4.236 |
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author | Kim, Hyoung-Min Park, Il-Jung Jeong, Changhoon |
author_facet | Kim, Hyoung-Min Park, Il-Jung Jeong, Changhoon |
author_sort | Kim, Hyoung-Min |
collection | PubMed |
description | Popliteal pterygium syndrome is a rare congenital disorder that consists of popliteal webs and craniofacial, genitourinary and extremity anomalies. Only moderate successful surgical excision of the fibrotic band within the popliteal web has been reported because the nerves and vessels in the affected site are short and displaced into the web and they are attached to adjacent tissues. We performed hamstring tenotomy on the ischial tuberosity, tenotomy of the flexor hallucis longus and Z-lengthening of the Achilles tendon on the ankle in our patient, and this was followed by gradual correction using an Ilizarov external fixator. Full extension of the knee joint was achieved at the ninth postoperative week. However, some recurrence of flexion contracture was noted at two years follow-up. Gradual soft tissue lengthening with an Ilizarov external fixator can be one of the optimal procedures when excision of a fibrous band and Z-plasty are not possible due to severe adhesion of the nerves and vessels into a fibrotic band. However, a cautious approach is recommended when considering the high risk of recurrence. |
format | Text |
id | pubmed-2784965 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2009 |
publisher | The Korean Orthopaedic Association |
record_format | MEDLINE/PubMed |
spelling | pubmed-27849652009-12-02 Treatment of Popliteal Pterygium Using an Ilizarov External Fixator Kim, Hyoung-Min Park, Il-Jung Jeong, Changhoon Clin Orthop Surg Case Report Popliteal pterygium syndrome is a rare congenital disorder that consists of popliteal webs and craniofacial, genitourinary and extremity anomalies. Only moderate successful surgical excision of the fibrotic band within the popliteal web has been reported because the nerves and vessels in the affected site are short and displaced into the web and they are attached to adjacent tissues. We performed hamstring tenotomy on the ischial tuberosity, tenotomy of the flexor hallucis longus and Z-lengthening of the Achilles tendon on the ankle in our patient, and this was followed by gradual correction using an Ilizarov external fixator. Full extension of the knee joint was achieved at the ninth postoperative week. However, some recurrence of flexion contracture was noted at two years follow-up. Gradual soft tissue lengthening with an Ilizarov external fixator can be one of the optimal procedures when excision of a fibrous band and Z-plasty are not possible due to severe adhesion of the nerves and vessels into a fibrotic band. However, a cautious approach is recommended when considering the high risk of recurrence. The Korean Orthopaedic Association 2009-12 2009-11-25 /pmc/articles/PMC2784965/ /pubmed/19956482 http://dx.doi.org/10.4055/cios.2009.1.4.236 Text en Copyright © 2009 by The Korean Orthopaedic Association http://creativecommons.org/licenses/by/2.0/ This is an open-access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Case Report Kim, Hyoung-Min Park, Il-Jung Jeong, Changhoon Treatment of Popliteal Pterygium Using an Ilizarov External Fixator |
title | Treatment of Popliteal Pterygium Using an Ilizarov External Fixator |
title_full | Treatment of Popliteal Pterygium Using an Ilizarov External Fixator |
title_fullStr | Treatment of Popliteal Pterygium Using an Ilizarov External Fixator |
title_full_unstemmed | Treatment of Popliteal Pterygium Using an Ilizarov External Fixator |
title_short | Treatment of Popliteal Pterygium Using an Ilizarov External Fixator |
title_sort | treatment of popliteal pterygium using an ilizarov external fixator |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2784965/ https://www.ncbi.nlm.nih.gov/pubmed/19956482 http://dx.doi.org/10.4055/cios.2009.1.4.236 |
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