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İki taraflı doğuştan tibia gelişme eksikliği olan 5 yaşındaki bir çocukta ayağı koruyucu yaklaşım

Year 2006, Volume: 40 Issue: 4, 329 - 333, 20.11.2006

Hasan Bombaci Mucahit Gorgec Serhat Yanik

Abstract

Doğuştan tibial gelişme eksikliği alt ekstremitenin kısalık ve varusuna neden olan nadir bir anomalidir. Son zamanlarda gelişen ekstremite uzatma ve ayak deformitesi düzeltme teknikleri ayağı koruyarak fonksiyonel sonuçlar almak konusunda cesaret vericidir. Bu yazıda, Jones sınıflamasına göre iki taraflı tip 2 anormallik saptanan ve Syme amputasyonu olmaksızın tibia-fibular füzyon ile tedavi edilen beş yaşındaki erkek çocuk sunuldu. Hasta, dizlerinin üzerinde ancak ellerinin yardımıyla hareket edebiliyordu. Radyografik incelemede, fibulanın tam gelişmiş, distale doğru kalınlaşmış olduğu; tibianın ise yalnızca proksimal kısmının var olduğu, distal kısmının olmadığı görüldü. Ayak ve ayak bileği ekleminde sert ekinovarus deformitesi vardı. Seri ameliyatlarla her iki bacakta tibia-fibular füzyon ve fibular osteotomi, sağ ayağa subtalar artrodez ve metatarsal osteotomi, sol ayağa subtalar artrodez yapıldı. Altı yıllık tedavi ve takip süreci sonunda çocuk aksayarak da olsa yürüyebiliyordu.

Keywords

fibula/transplantation;foot deformities congenital/ surgery;tibia/abnormalities/surgery

Preservation of the foot in a five-year-old child with bilateral congenital deficiency of the tibia

Year 2006, Volume: 40 Issue: 4, 329 - 333, 20.11.2006

Hasan Bombaci Mucahit Gorgec Serhat Yanik

Abstract

Congenital tibial deficiency is a rare anomaly causing shortening and varus deformity of the lower extremity. Recent limb lengthening and foot repositioning techniques enable functional results with preservation of the foot. We present a five-year-old boy with bilateral congenital tibial deficiency of type 2 according to the Jones classification, who was treated with tibia-fibular fusion without Syme amputation. His ambulation depended on crawling. Radiographic examination showed a normally developed fibula with thickening in the distal portion, and only proximal tibia with absence of the distal part. He also had bilateral stiff equinovarus deformity. In a series of operations, he underwent bilateral tibia-fibular fusion and fibular osteotomy, subtalar arthrodesis and metatarsal osteotomy in the right foot, and subtalar arthrodesis in the left foot. At the end of a six-year treatment and follow-up, walking was achieved despite some degree of limping.

Keywords

Fibula/transplantation foot deformities congenital/ surgery tibia/abnormalities/surgery

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Details

Primary Language English
Subjects Health Care Administration
Journal Section Case Report
Authors

Hasan Bombaci This is me

Mucahit Gorgec This is me

Serhat Yanik This is me

Publication Date November 20, 2006
Published in Issue Year 2006 Volume: 40 Issue: 4

Cite

APA Bombaci, H., Gorgec, M., & Yanik, S. (2006). Preservation of the foot in a five-year-old child with bilateral congenital deficiency of the tibia. Acta Orthopaedica Et Traumatologica Turcica, 40(4), 329-333.
AMA Bombaci H, Gorgec M, Yanik S. Preservation of the foot in a five-year-old child with bilateral congenital deficiency of the tibia. Acta Orthopaedica et Traumatologica Turcica. November 2006;40(4):329-333.
Chicago Bombaci, Hasan, Mucahit Gorgec, and Serhat Yanik. “Preservation of the Foot in a Five-Year-Old Child With Bilateral Congenital Deficiency of the Tibia”. Acta Orthopaedica Et Traumatologica Turcica 40, no. 4 (November 2006): 329-33.
EndNote Bombaci H, Gorgec M, Yanik S (November 1, 2006) Preservation of the foot in a five-year-old child with bilateral congenital deficiency of the tibia. Acta Orthopaedica et Traumatologica Turcica 40 4 329–333.
IEEE H. Bombaci, M. Gorgec, and S. Yanik, “Preservation of the foot in a five-year-old child with bilateral congenital deficiency of the tibia”, Acta Orthopaedica et Traumatologica Turcica, vol. 40, no. 4, pp. 329–333, 2006.
ISNAD Bombaci, Hasan et al. “Preservation of the Foot in a Five-Year-Old Child With Bilateral Congenital Deficiency of the Tibia”. Acta Orthopaedica et Traumatologica Turcica 40/4 (November 2006), 329-333.
JAMA Bombaci H, Gorgec M, Yanik S. Preservation of the foot in a five-year-old child with bilateral congenital deficiency of the tibia. Acta Orthopaedica et Traumatologica Turcica. 2006;40:329–333.
MLA Bombaci, Hasan et al. “Preservation of the Foot in a Five-Year-Old Child With Bilateral Congenital Deficiency of the Tibia”. Acta Orthopaedica Et Traumatologica Turcica, vol. 40, no. 4, 2006, pp. 329-33.
Vancouver Bombaci H, Gorgec M, Yanik S. Preservation of the foot in a five-year-old child with bilateral congenital deficiency of the tibia. Acta Orthopaedica et Traumatologica Turcica. 2006;40(4):329-33.