PDF(Pubmed)
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.
摘要：
由于羊膜带综合征的异常表现，新生儿出生时患有独特的先天性下肢畸形。从右脚足底表面到右臀部的异常软组织系带导致膝盖极度屈曲，发育中的足的胫骨旋转和畸形。这种复杂的畸形需要多学科团队（MDT）方法来决定重建和截肢。分娩后73天手术释放组织带，改善膝盖伸展，并将组织堆积在大腿上作为管状椎弓根，以备将来重建。病人接受了康复治疗,这已被证明是至关重要的滑膜关节形成。18个月大的时候，决定进行膝盖截肢和假肢。所讨论的文献表明，在复杂的下肢病例中，MDT方法对于为患者提供最佳功能结果的重要性。
