Article ; Online: Presentation and multidisciplinary management of a unique case of lower limb dysmelia resulting from amniotic band syndrome.
BMJ case reports
2024 Volume 17, Issue 3
Abstract: 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 ...
| Abstract | 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. |
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| MeSH term(s) | Infant, Newborn ; Humans ; Infant ; Amniotic Band Syndrome/complications ; Amniotic Band Syndrome/surgery ; Leg ; Foot ; Knee Joint ; Knee |
| Language | English |
| Publishing date | 2024-03-15 |
| Publishing country | England |
| Document type | Case Reports ; Journal Article |
| ISSN | 1757-790X |
| ISSN (online) | 1757-790X |
| DOI | 10.1136/bcr-2023-258063 |
| Database | MEDical Literature Analysis and Retrieval System OnLINE |
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