Successful ambulation by surgical conversion in a complex form of epigastric heteropagus

被引:3
|
作者
Haga, Nobuhiko [1 ]
Karita, Tatsuro [2 ]
Amao, Rie
Kanamori, Yutaka [3 ]
Takatori, Yoshio [2 ]
机构
[1] Tokyo Univ Hosp, Dept Rehabil Med, Grad Sch Med, Bunkyo Ku, Tokyo 1138655, Japan
[2] Tokyo Univ Hosp, Dept Orthoped Surg, Tokyo 1138655, Japan
[3] Tokyo Univ Hosp, Dept Pediat Surg, Tokyo 1138655, Japan
来源
关键词
epigastric heteropagus; femoral osteotomy; gait analysis; knee disarticulation; unpaired conjoined twins; three-dimensional solid model; PARTIAL DUPLICATION; CONJOINED TWINS; LOWER-EXTREMITY; LOWER-LIMB; CHILDREN; GAIT;
D O I
10.1097/BPB.0b013e32832f07ee
中图分类号
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学(修复外科学)];
学科分类号
摘要
A female neonate with a complex form of epigastric heteropagus and with three legs was referred to us. The left leg appeared normal, the central one was hypoplastic and resected 1 month after birth, and the right one projected in the cranial direction with knee flexion contracture. Three bones of the parasite were sandwiched between the right ilium and the ischiopubic bones of the autosite. At the age of 4, we performed the subtrochanteric femoral osteotomy with 90 degrees of varization and rotation, along with knee disarticulation. Ambulation was successfully achieved with the prosthesis with a multiaxis knee unit. J Pediatr Orthop B 18:394-396 (C) 2009 Wolters Kluwer Health vertical bar Lippincott Williams & Wilkins.
引用
收藏
页码:394 / 396
页数:3
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