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A Case Report of Deformity Correction of a Limb with Congenital Distal Tibiofibular Diastasis
INTRODUCTION: Congenital distal tibiofibular diastasis is an extremely rare disorder. The main feature at presentation is a clubfoot deformity with leg length discrepancy (LLD) due to a short tibia. Limb lengthening and reconstruction techniques today can correct the deformity, ending with a plantig...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Indian Orthopaedic Research Group
2019
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7210900/ https://www.ncbi.nlm.nih.gov/pubmed/32405491 http://dx.doi.org/10.13107/jocr.2019.v09.i04.1482 |
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author | Laliotis, Nikolaos Aggelos Chrysanthos, Chrysanthou Panagiotis, Konstantinidis Ektor, Kessidis |
author_facet | Laliotis, Nikolaos Aggelos Chrysanthos, Chrysanthou Panagiotis, Konstantinidis Ektor, Kessidis |
author_sort | Laliotis, Nikolaos Aggelos |
collection | PubMed |
description | INTRODUCTION: Congenital distal tibiofibular diastasis is an extremely rare disorder. The main feature at presentation is a clubfoot deformity with leg length discrepancy (LLD) due to a short tibia. Limb lengthening and reconstruction techniques today can correct the deformity, ending with a plantigrade and functional limb. CASE REPORT: We report a patient with congenital tibiofibular diastasis, who was initially treated with series of casts and later with ankle arthrodesis, but the deformity and LLDleg length discrepancy remained. We applied an Ilizarov frame and initially corrected the varus and equinus deformity of the foot. Then, we corrected the LLD leg length discrepancy with limb lengthening with distraction osteogenesis. We achieved a plantigrade stable limb, with a small amount of length inequality. CONCLUSION: Congenital distal tibiofibular diastasis can be managed with staged correction and lengthening with the Ilizarov method. |
format | Online Article Text |
id | pubmed-7210900 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2019 |
publisher | Indian Orthopaedic Research Group |
record_format | MEDLINE/PubMed |
spelling | pubmed-72109002020-05-13 A Case Report of Deformity Correction of a Limb with Congenital Distal Tibiofibular Diastasis Laliotis, Nikolaos Aggelos Chrysanthos, Chrysanthou Panagiotis, Konstantinidis Ektor, Kessidis J Orthop Case Rep Case Report INTRODUCTION: Congenital distal tibiofibular diastasis is an extremely rare disorder. The main feature at presentation is a clubfoot deformity with leg length discrepancy (LLD) due to a short tibia. Limb lengthening and reconstruction techniques today can correct the deformity, ending with a plantigrade and functional limb. CASE REPORT: We report a patient with congenital tibiofibular diastasis, who was initially treated with series of casts and later with ankle arthrodesis, but the deformity and LLDleg length discrepancy remained. We applied an Ilizarov frame and initially corrected the varus and equinus deformity of the foot. Then, we corrected the LLD leg length discrepancy with limb lengthening with distraction osteogenesis. We achieved a plantigrade stable limb, with a small amount of length inequality. CONCLUSION: Congenital distal tibiofibular diastasis can be managed with staged correction and lengthening with the Ilizarov method. Indian Orthopaedic Research Group 2019 /pmc/articles/PMC7210900/ /pubmed/32405491 http://dx.doi.org/10.13107/jocr.2019.v09.i04.1482 Text en Copyright: © Indian Orthopaedic Research Group http://creativecommons.org/licenses/by-nc/3.0 This is an open-access article distributed under the terms of the Creative Commons Attribution-Noncommercial-Share Alike 3.0 Unported, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Case Report Laliotis, Nikolaos Aggelos Chrysanthos, Chrysanthou Panagiotis, Konstantinidis Ektor, Kessidis A Case Report of Deformity Correction of a Limb with Congenital Distal Tibiofibular Diastasis |
title | A Case Report of Deformity Correction of a Limb with Congenital Distal Tibiofibular Diastasis |
title_full | A Case Report of Deformity Correction of a Limb with Congenital Distal Tibiofibular Diastasis |
title_fullStr | A Case Report of Deformity Correction of a Limb with Congenital Distal Tibiofibular Diastasis |
title_full_unstemmed | A Case Report of Deformity Correction of a Limb with Congenital Distal Tibiofibular Diastasis |
title_short | A Case Report of Deformity Correction of a Limb with Congenital Distal Tibiofibular Diastasis |
title_sort | case report of deformity correction of a limb with congenital distal tibiofibular diastasis |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7210900/ https://www.ncbi.nlm.nih.gov/pubmed/32405491 http://dx.doi.org/10.13107/jocr.2019.v09.i04.1482 |
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