Asymmetric limb lengthening in the treatment of tibial hemimelia caused by osteomyelitis: A case report.

Abstract:

RATIONALE:Tibial hemimelia is known as a rare congenital lower limb deficiency. It has been classified into different types based on Jones classification, and the traditional treatment of tibial hemimelia is amputation. Here we present a variant and unclassified case of tibial hemimelia, which was caused by osteomyelitis. And the lower limb with tibial hemimelia was salvaged by asymmetric limb lengthening. PATIENT CONCERNS:19-year-old girl had the shortened and curved left lower extremity with walking abnormalities. DIAGNOSIS:The patient's deformity was caused by osteomyelitis of tibia occurred when she was 18 month old. The tibial shaft was absent, while the proximal and distal tibia was present but was hypoplastic with radiographic analysis. The fibula was hypertrophied and curved like the capital letter C. The leg length discrepancy (LLD), mostly coming from the left lower leg, was 22 cm. INTERVENTIONS:We were able to salvage the limb successfully by 5 operations, including releasing soft tissue, fusing the proximal tibiofibular joint, fibular osteotomy, femur lengthening, and fibular lengthening. OUTCOMES:The whole treatment time for the patient was 3 years and 2 months, and she was followed up for 5 years afterward. The length of femur lengthening and fibula lengthening during the reconstruction were 7.8 cm and 11 cm, respectively. Most of the deformities were corrected, except that the left lower limb was still 2 cm shorter than the contralateral limb, and the 34 mm of mechanical axis deviation (MAD) of left lower limb remained. The reason why the patient's lower limbs were asymmetric was that the femur and fibular lengthening were performed within the affected limb only. Overall, the patient was very satisfied with her asymmetric limbs and its function after surgeries. LESSONS:The LLD in this case mainly came from tibial hemimelia. However, the fibula was unable to be lengthened to 22 cm during the lower leg distraction process because of blood flow disturbance. We could only lengthen the femur to salvage the limb in this situation. Even though the patient still had a few residual deformities and a pair of asymmetric lower limbs, she was satisfied with the function and appearance of the reconstructed limb. Therefore, the lower limb with tibial hemimelia can be salvaged by asymmetric limb lengthening in special cases.

journal_name

Medicine (Baltimore)

journal_title

Medicine

authors

Yu L,Yu G,Deng K,Wang G

doi

10.1097/MD.0000000000014031

subject

Has Abstract

pub_date

2019-01-01 00:00:00

pages

e14031

issue

3

eissn

0025-7974

issn

1536-5964

pii

00005792-201901180-00025

journal_volume

98

pub_type

杂志文章

相关文献

MEDICINE文献大全
  • Unplanned surgical reoperations as a quality indicator in pediatric tertiary general surgical specialties: Associated risk factors and hospitalization, a retrospective case-control analysis.

    abstract::Unplanned reoperations have not been studied extensively in pediatric patients, especially concerning risk factors. We aim to estimate the rate of unplanned reoperations and to determine the associated factors in pediatric general surgical specialties.This analysis included a retrospective case-control study of unplan...

    journal_title:Medicine

    pub_type: 杂志文章

    doi:10.1097/MD.0000000000019982

    authors: Li A,Zhu H,Zhou H,Liu J,Deng Y,Liu Q,Guo C

    更新日期:2020-05-01 00:00:00

  • Fatal outcome of late-onset angiotensin-converting enzyme inhibitor induced angioedema: A case report.

    abstract:RATIONALE:Angiotensin-converting enzyme (ACE) inhibitors are one of the most used medication among patients with arterial hypertension. In most cases, ACE inhibitors caused side effects are mild; however, from 0.1% to 0.7% of patients can develop life threatening adverse effect, angioedema. Unlike histamine mediated, A...

    journal_title:Medicine

    pub_type: 杂志文章

    doi:10.1097/MD.0000000000011695

    authors: Jackeviciute J,Pilvinis V,Pilviniene R

    更新日期:2018-08-01 00:00:00

  • Enterohepatic Helicobacter Species as a Potential Causative Factor in Inflammatory Bowel Disease: A Meta-Analysis.

    abstract::The Helicobacter species in the gut microbiota comprise Helicobacter pylori (H pylori) and enterohepatic Helicobacter species (EHS), which can colonize the intestinal mucosa. However, it is unclear whether EHS are associated with inflammatory bowel disease (IBD). Therefore, we conducted this meta-analysis to examine t...

    journal_title:Medicine

    pub_type: 杂志文章,meta分析,评审

    doi:10.1097/MD.0000000000001773

    authors: Yu Q,Zhang S,Li L,Xiong L,Chao K,Zhong B,Li Y,Wang H,Chen M

    更新日期:2015-11-01 00:00:00

  • The effect of intra-articular stimulation by pulsed radiofrequency on chronic sacroiliac joint pain refractory to intra-articular corticosteroid injection: A retrospective study.

    abstract::We investigated the degree of pain reduction following intra-articular (IA) pulsed radiofrequency (PRF) stimulation of the sacroiliac joint (SIJ) in patients with chronic SIJ pain that had not responded to IA corticosteroid injection. Twenty patients were recruited. Clinical outcomes after applying PRF stimulation of ...

    journal_title:Medicine

    pub_type: 杂志文章

    doi:10.1097/MD.0000000000007367

    authors: Chang MC,Ahn SH

    更新日期:2017-06-01 00:00:00

  • Nuclear factor-kappa B1 is associated with gastric cancer in a Chinese population.

    abstract::Activated nuclear factor-κB (NF-κB) is associated with the pathogenesis of numerous cancers, such as gastric cancer (GC). Genetic polymorphisms in the genomic region containing nuclear factor-κB1 (NFKB1) have a plausible role in modulating the risk of GC. To identify markers contributing to the genetic susceptibility ...

    journal_title:Medicine

    pub_type: 杂志文章

    doi:10.1097/MD.0000000000000279

    authors: Hua T,Qinsheng W,Xuxia W,Shuguang Z,Ming Q,Zhenxiong L,Jingjie W

    更新日期:2014-12-01 00:00:00

  • Correlation of cervical and thoracic inlet sagittal parameters by MRI and radiography in patients with cervical spondylosis.

    abstract::To investigate the relationship between cervical and thoracic sagittal alignment parameters measured by magnetic resonance imaging (MRI) and x-ray in patients with cervical spondylosisData from 120 symptomatic patients who presented with cervical spondylosis between April 2015 and January 2016 were retrospectively ana...

    journal_title:Medicine

    pub_type: 杂志文章

    doi:10.1097/MD.0000000000014393

    authors: Cheng J,Liu P,Sun D,Ma Z,Liu J,Wang Z,Mou J

    更新日期:2019-02-01 00:00:00

  • Clinicopathological features and prognostic factors of young patients with surgically treated liver cancer.

    abstract::This article compares the clinical characteristics and prognosis of young patients in different age groups with liver cancer (LC). In this retrospective study, we searched the Surveillance, Epidemiology, and End Results population-based database and identified 2641 patients who had been diagnosed with LC between 1988 ...

    journal_title:Medicine

    pub_type: 杂志文章

    doi:10.1097/MD.0000000000000684

    authors: Zhang W,Jiang R,Hou J,Sun B

    更新日期:2015-03-01 00:00:00

  • Bullying experience of pupils in Nigerian primary schools.

    abstract::Childhood bullying leads to life-long scars and hinders adult development. Schoolchildren involved in bullying are at risk of developing behavioural difficulties, physical health problems and suicidal ideation. This research aimed to evaluate the bullying experience of pupils in Nigerian primary schools.The study is a...

    journal_title:Medicine

    pub_type: 杂志文章

    doi:10.1097/MD.0000000000022409

    authors: Umoke PCI,Umoke M,Ugwuanyi CS,Okeke CIO,Eseadi C,Onuorah AR,Ugwu GC,Obiweluozo PE,Uzodinma UE,Uwakwe RC,Uba MBI,Ebizie EN,Onyeke NG,Otu MS

    更新日期:2020-09-25 00:00:00

  • The spectrum of invasive pneumococcal disease at an adult tertiary care hospital in the early 21st century.

    abstract::Despite widespread pneumococcal vaccination of children and adults, invasive pneumococcal disease (IPD) remains prominent. Using our database of all Streptococcus pneumoniae infections at the Veterans Affairs Medical Center, Houston, Texas, since 2000, we reviewed cases of IPD, defined as the isolation of pneumococci ...

    journal_title:Medicine

    pub_type: 杂志文章

    doi:10.1097/MD.0b013e3181f2b824

    authors: Rueda AM,Serpa JA,Matloobi M,Mushtaq M,Musher DM

    更新日期:2010-09-01 00:00:00

  • Migration inhibitory factor in spinal tuberculosis: -173G/C polymorphisms, and transcript and protein levels in a northern province of China.

    abstract::The aim of this study was to elucidate the possible association between migration inhibitory factor (MIF)-173G/C gene polymorphisms and transcript and plasma levels of MIF in spinal tuberculosis (TB) patients. Clinical data were collected from 254 spinal TB patients and 262 healthy controls participating in the study....

    journal_title:Medicine

    pub_type: 杂志文章

    doi:10.1097/MD.0000000000021331

    authors: Wang J,Sheng B,Li X,Sun J,Shi L,Wei W,Wang G,Cao X

    更新日期:2020-07-24 00:00:00

  • Validation of an individualized reduction of falls intervention program among wheelchair and scooter users with multiple sclerosis.

    abstract:INTRODUCTION:Falls are a serious concern for wheelchair and scooter users with multiple sclerosis (MS). Approximately, 75% of the population reports at least one fall in a 6-month period and nearly half report frequent falls. Falls can result in physical injuries and contribute to activity curtailment. Despite the nega...

    journal_title:Medicine

    pub_type: 杂志文章,多中心研究

    doi:10.1097/MD.0000000000015418

    authors: Rice LA,Peterson EW,Backus D,Sung J,Yarnot R,Abou L,Van Denend T,Shen S,Sosnoff JJ

    更新日期:2019-05-01 00:00:00

  • Successful closure of ileostomy in a patient with intestinal Behçet's disease after therapy with adalimumab: A case report.

    abstract:RATIONALE:Behçet's disease (BD) is a chronic immune-mediated inflammatory disorder involving multiple organ systems. In BD, intestinal ulcers can present as a refractory lesion capable of perforation, which makes the choice of treatment difficult. PATIENT CONCERNS:A 34-year-old male who was diagnosed with intestinal B...

    journal_title:Medicine

    pub_type: 杂志文章

    doi:10.1097/MD.0000000000014624

    authors: Yan Z,Cui BB,Yu YY,Yin G,Cen XM,Xie QB

    更新日期:2019-03-01 00:00:00

  • High plasma coenzyme Q10 concentration is correlated with good left ventricular performance after primary angioplasty in patients with acute myocardial infarction.

    abstract::Exogenous administration of coenzyme Q10 (CoQ10) has been shown in experimental models to have a protective effect against ischemia-reperfusion injury. However, it is unclear whether follow-up plasma CoQ10 concentration is prognostic of left ventricular (LV) performance after primary balloon angioplasty in patients wi...

    journal_title:Medicine

    pub_type: 杂志文章

    doi:10.1097/MD.0000000000004501

    authors: Huang CH,Kuo CL,Huang CS,Tseng WM,Lian IB,Chang CC,Liu CS

    更新日期:2016-08-01 00:00:00

  • Cetuximab concurrent with IMRT versus cisplatin concurrent with IMRT in locally advanced nasopharyngeal carcinoma: A retrospective matched case-control study.

    abstract::To evaluate the treatment efficacies and toxicities of concurrent cetuximab-based bioradiotherapy (BRT) or cisplatin-based chemoradiotherapy (CRT) in locally advanced nasopharyngeal carcinoma. :Patients with previously untreated locally advanced nasopharyngeal carcinoma were matched into pairs, and enrolled into the s...

    journal_title:Medicine

    pub_type: 杂志文章

    doi:10.1097/MD.0000000000004926

    authors: Wu X,Huang J,Liu L,Li H,Li P,Zhang J,Xie L

    更新日期:2016-09-01 00:00:00

  • Pain-induced peripheral artery tonometry scores in the control arm are impaired in patients with apical ballooning syndrome.

    abstract::Mental and physical stress is thought to play an important causative factor in apical ballooning syndrome (ABS) likely secondary to the vasomotor dysfunction. However, there are currently few data related to the impact of physical stress in this unique cardiomyopathy.A total 18 patients, including 8 females with histo...

    journal_title:Medicine

    pub_type: 杂志文章

    doi:10.1097/MD.0000000000013841

    authors: Sun T,Widmer RJ,Matsuzawa Y,Lennon RJ,Park KH,Lerman LO,Lerman A

    更新日期:2019-01-01 00:00:00

  • Renal artery stent in solitary functioning kidneys: 77% of benefit: A systematic review with meta-analysis.

    abstract:BACKGROUND:Solitary functioning kidney (SFK) is tough issue to address in clinical, mostly developed from renal artery stenosis (RAS) in adults. Although renal artery stent is widely used to help SFK patients, the efficacy of the stent is still disputable. This study is aimed at reviewing a series of SFK cases to draw ...

    journal_title:Medicine

    pub_type: 杂志文章,meta分析,评审

    doi:10.1097/MD.0000000000004780

    authors: Ma Z,Liu L,Zhang B,Chen W,Yang J,Li H

    更新日期:2016-09-01 00:00:00

  • A new intensive conditioning regimen for allogeneic hematopoietic stem cell transplantation in patients with refractory or relapsed acute myeloid leukemia.

    abstract::To explore the efficacy, and safety of the intensive conditioning regimen consisting of cladribine, cytarabine (Ara-C), and granulocyte colony-stimulating factor (G-CSF) plus modified busulfan (Bu) combined with cytoxan (Cy) (BuCy), prior to allogeneic hematopoietic stem cell transplantation (allo-HSCT) in patients wi...

    journal_title:Medicine

    pub_type: 杂志文章

    doi:10.1097/MD.0000000000010228

    authors: Wang J,Zhao J,Fei X,Yin Y,Cheng H,Zhang W,Gu J,Yang F,Yang Y,Xue S,Tian Z,He J,Zhang S,Wang X

    更新日期:2018-04-01 00:00:00

  • Influenza A with hemorrhagic shock and encephalopathy syndrome in an adult: A case report.

    abstract:INTRODUCTION:Hemorrhagic shock and encephalopathy syndrome (HSES) is a type of acute encephalopathy mainly seen in infants. It is a syndrome encompassing an onset of high fever, disturbance of consciousness, convulsion, and shock that rapidly progresses to watery diarrhea and liver and renal dysfunctions. It is extreme...

    journal_title:Medicine

    pub_type: 杂志文章

    doi:10.1097/MD.0000000000015012

    authors: Fukuda M,Yoshida T,Moroki M,Hirayu N,Nabeta M,Nakamura A,Uzu H,Takasu O

    更新日期:2019-04-01 00:00:00

  • Sedative reduction method for children with intussusception.

    abstract::Intussusception is common emergency condition in children. Pneumatic or hydrostatic reduction (HR) is considered the first-choice management strategy in cases lacking indications for surgical intervention. Generally, sedatives are not used in children undergoing interventional radiology procedures. Surgical management...

    journal_title:Medicine

    pub_type: 杂志文章

    doi:10.1097/MD.0000000000018956

    authors: Doo JW,Kim SC

    更新日期:2020-01-01 00:00:00

  • Trans-umbilical single-incision laparoscopic trans-abdominal pre-peritoneal hernioplasty of inguinal hernia by self-made glove port.

    abstract::Laparoscopic inguinal herniorrhaphy has been well established for the management of primary and recurrent inguinal hernias. Single-incision laparoscopic surgery (SILS) has now been accepted as a less invasive alternative to conventional laparoscopic surgery. However, commercially available access devices for SILS had ...

    journal_title:Medicine

    pub_type: 杂志文章

    doi:10.1097/MD.0000000000021787

    authors: Chen QL,Chen K,Huang DY,Pan Y,Yan JF,Wang XF,Cai XY

    更新日期:2020-08-21 00:00:00

  • Survival time and prognostic factors of patients with initial noncurative colorectal liver metastases.

    abstract::The true survival benefit of different curative strategies involving type of operative procedure and timing for patients with initial noncurative colorectal liver metastases remains uncertain. The goal of this study was to examine the effect of primary tumor resection on patients' survival and to clarify the predictiv...

    journal_title:Medicine

    pub_type: 杂志文章

    doi:10.1097/MD.0000000000008831

    authors: Liu Q,Hao L,Lou Z,Gao X,Gong H,Hong Y,Fu C,Zhang W

    更新日期:2017-12-01 00:00:00

  • Analysis of D-dimer cut-off values for overt DIC diagnosis in exertional heat illness.

    abstract:ABSTRACT:The International Society on Thrombosis and Haemostasis (ISTH) scoring system has been used for diagnosing overt disseminated intravascular coagulation (DIC). However, the cut-off points of fibrin-related markers remain unclear. The ability of the ISTH DIC score and Multiple Organ Dysfunction (MODS) score to p...

    journal_title:Medicine

    pub_type: 杂志文章

    doi:10.1097/MD.0000000000023831

    authors: Gao TY,Yang WC,Zhou FH,Song Q

    更新日期:2020-12-24 00:00:00

  • Diversity analysis of subgingival microbial bacteria in peri-implantitis in Uygur population.

    abstract::This study is to investigate the subgingival bacterial diversity and community structure in the Uygur subjects with peri-implantitis.Totally 40 cases of gingival crevicular fluid were collected from Uygur subjects and divided into the Control group (healthy implants) and Case group (peri-implantitis), respectively. DN...

    journal_title:Medicine

    pub_type: 杂志文章

    doi:10.1097/MD.0000000000009774

    authors: Gao X,Zhou J,Sun X,Li X,Zhou Y

    更新日期:2018-02-01 00:00:00

  • The therapeutic efficacy of Chinese patent medicine combined with routine western medicine in the treatment of coronavirus disease 2019 (COVID-19): A protocol for systematic review and meta-analysis.

    abstract:BACKGROUND:Coronavirus disease 2019 (COVID-19) is a potentially fatal disease. clinical practice shows that Chinese Patent Medicine (CPM) has played an important role in the outbreak, Among them, Jinhua Qinggan granules, Lianhua Qingwen capsule, and Xuebiqing injection have an effect in treating COVID-19 patients, but ...

    journal_title:Medicine

    pub_type: 杂志文章

    doi:10.1097/MD.0000000000022277

    authors: Zhang J,Li S,Zhao C,Wang W,Li F,Li F

    更新日期:2020-09-18 00:00:00

  • 5HTTLPR polymorphism and postpartum depression risk: A meta-analysis.

    abstract:OBJECTIVE:Postpartum depression (PPD) is an episode of major depressive disorder that affecting women of childbearing age. 5-HTTLPR is 1 of the most extensively investigated polymorphisms in PPD. However, the previous results were inconsistent and inclusive. Hence, we performed a meta-analysis to precisely evaluate the...

    journal_title:Medicine

    pub_type: 杂志文章,meta分析

    doi:10.1097/MD.0000000000022319

    authors: Li J,Chen Y,Xiang Q,Xiang J,Tang Y,Tang L

    更新日期:2020-09-25 00:00:00

  • Different dosages of mifepristone versus enantone to treat uterine fibroids: A multicenter randomized controlled trial.

    abstract:BACKGROUND:To evaluate the efficacy and safety of 10 mg and 25 mg mifepristone per day compared with 3.75 mg enantone in treating uterine fibroids. METHODS:This is a Multicenter randomized controlled trial. A total of 501 subjects with symptomatic uterine fibroids were enrolled and randomized into the group of 10mg, 2...

    journal_title:Medicine

    pub_type: 杂志文章,多中心研究,随机对照试验

    doi:10.1097/MD.0000000000006124

    authors: Liu C,Lu Q,Qu H,Geng L,Bian M,Huang M,Wang H,Zhang Y,Wen Z,Zheng S,Zhang Z

    更新日期:2017-02-01 00:00:00

  • A case report of a child with sepsis induced multiorgan failure and massive complement consumption treated with a short course of Eculizumab: A case of crosstalk between coagulation and complement?

    abstract:RATIONALE:This article describes a child with a life-threatening multiorgan failure with disseminated intravascular coagulation (DIC) and massive complement consumption. To our knowledge this therapeutic approach was for the first time effectively applied in a pediatric patient. PATIENT CONCERNS:A 14-month-old boy was...

    journal_title:Medicine

    pub_type: 杂志文章

    doi:10.1097/MD.0000000000014105

    authors: Galic S,Csuka D,Prohászka Z,Turudic D,Dzepina P,Milosevic D

    更新日期:2019-01-01 00:00:00

  • Burnout level and job satisfaction in Chinese pediatrics residents: A web-based cross-sectional study.

    abstract::To study the prevalence of burnout and job satisfaction in Chinese pediatrics residents.Prospective participants were invited via a WeChat group to participate from October 1, 2018 to January 31, 2019. The Maslach Burnout Inventory-Human Services Survey was used to measure physician burnout, and the Minnesota Satisfac...

    journal_title:Medicine

    pub_type: 杂志文章

    doi:10.1097/MD.0000000000019249

    authors: Ji L,Xiaowei Z,Ling K,Yao F,Qingkun S,Jun Z

    更新日期:2020-02-01 00:00:00

  • Feasibility of measuring urethral pressure during female midurethral slings: Case report.

    abstract:RATIONALE:Stress urinary incontinence (SUI) refers to the involuntary leakage of urine when abdominal pressure increases. Midurethral slings (MUS) have become the main surgical method for treating SUI, but no quantitative standard for the degree of sling tightness during operation exists. We achieved this quantitative ...

    journal_title:Medicine

    pub_type: 杂志文章

    doi:10.1097/MD.0000000000021100

    authors: Meng LF,Wang M,Zhang W,Liu XD,Zhang YG

    更新日期:2020-07-10 00:00:00

  • Primary ovarian carcinoid: Two cases report and review of literature.

    abstract:INTRODUCTION:Carcinoid tumor is one of the most frequent neuroendocrine tumors, and the majority of which are usually observed in the lungs and gastrointestinal tract. The prevalence of ovarian carcinoids is merely 0.1% in ovarian neoplasms and 1% in carcinoid tumors. We described 2 rare cases in our hospital of primar...

    journal_title:Medicine

    pub_type: 杂志文章,评审

    doi:10.1097/MD.0000000000021109

    authors: Zhai LR,Zhang XW,Yu T,Jiang ZD,Huang DW,Jia Y,Cui MH

    更新日期:2020-10-02 00:00:00