• Users Online: 52
  • Print this page
  • Email this page
CASE REPORT
Year : 2022  |  Volume : 5  |  Issue : 4  |  Page : 161-164

Amputate or not amputate? A fibular hemimelia case report


Department of Physical Medicine and Rehabilitation, Hospital de Braga, Braga, Portugal

Correspondence Address:
Dr. Ana Rita Raposo
Freguesia de São Victor, Sete Fontes, Braga
Portugal
Login to access the Email id

Source of Support: None, Conflict of Interest: None


DOI: 10.4103/ijprm.JISPRM-000172

Rights and Permissions

Fibular hemimelia is the most frequent congenital defect of the long bones. It has a wide spectrum of clinical and radiological presentations ranging from minor hypoplasia to complete absence of the fibula. Treatment options range between orthotic support, limb reconstruction, and amputation. In the current article, we present a complex clinical case of a young patient with fibular hemimelia. The patient presented a dysmetria of the lower limbs of 21 cm, also an equinovalgus foot position, and several malformations of the foot and toes. She walked with adapted orthosis and crutches, which was proved difficult for her, and esthetically undesirable. Due to the impairment on her quality of life, she was referred initially to bone-lengthening surgery. However, this surgery did not obtain satisfactory results, in both esthetic and functional levels. Hence, the patient was referred to amputation, with a better outcome after. In this clinical case, and reviewing the current literature, we aim to reflect on the implications of the different surgical options in the treatment of fibular hemimelia, and the role of physical medicine and rehabilitation in the functional recovery of these patients. We invite readers to reflect on some questions: Is amputation the best treatment in cases of serious fibular hemimelia? Should a bone-lengthening procedure be attempted before amputation? Should the amputation be delayed? To amputate or not to amputate?


[FULL TEXT] [PDF]*
Print this article     Email this article
 Next article
 Previous article
 Table of Contents

 Similar in PUBMED
   Search Pubmed for
   Search in Google Scholar for
 Related articles
 Citation Manager
 Access Statistics
 Reader Comments
 Email Alert *
 Add to My List *
 * Requires registration (Free)
 

 Article Access Statistics
    Viewed389    
    Printed305    
    Emailed0    
    PDF Downloaded30    
    Comments [Add]    

Recommend this journal