Tibial deficiency (also known as tibial hemimelia) is a rare condition with variable presentation. A 2-month-old patient presented with absent bilateral tibias. When the patient was 1 year, a novel reconstructive surgery was done. A bilateral fibular resection with pedicled calcaneus transfer was done, allowing for transfer of the calcaneus along with the overlying glabrous skin and soft tissues to the end of the femur. The patient was permitted to weight-bear after the 4-week postoperative follow-up. At the six-month follow-up, the patient was able to pull to stand and walk with assistance without any reports of pain.
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http://dx.doi.org/10.5435/JAAOSGlobal-D-22-00070 | DOI Listing |
Cureus
November 2024
Orthopedic Surgery Department, King Fahad Medical City, Riyadh, SAU.
This case report presents a three-year follow-up of a young male with bilateral hindfoot fractures due to a high-energy road traffic accident, resulting in a comminuted open calcaneal fracture on the left and an open fracture-dislocation of the right talus. Staged reconstruction was performed, including initial debridement, temporary cement spacers, and subsequent fixation with femoral head allografts (FHAs). The right foot underwent a tibiotalocalcaneal (TTC) fusion, and the left foot received a double arthrodesis.
View Article and Find Full Text PDFJ Orthop Case Rep
December 2024
Department of Orthopedic Surgery, Sapporo Medical University, School of Medicine, Sapporo, Japan.
Introduction: Few studies have reported the treatment and rehabilitation of combined fractures of the femur, tibia, and ankle in the same lower limb.
Case Report: A 69-year-old man presented to our hospital with a fall injury due to high-energy trauma after falling from a 5 m ladder while painting and landing on both feet. Examination revealed right femoral supracondylar; left tibial plateau; right calcaneal; left ankle crush; first and third lumbar vertebrae burst; sacral; C7, Th1, and Th9 compression; and bilateral acetabular fractures.
Foot Ankle Surg
November 2024
Surgeon, Department of Orthopaedics and Trauma, Sahlgrenska University Hospital and Department of Clinical Research, University of Gothenburg, Sweden.
Background: Due to changing population demographics and evolving treatment strategies updated epidemiological data are needed. This study aims to provide nationwide epidemiology data regarding calcaneus fractures of all types and treatment.
Methods: The study is based on data from the Swedish Fracture Register and include patients ≥ 18 with a calcaneus fracture sustained between April 2012 and June 2022.
Zhongguo Gu Shang
October 2024
Department of Radiology, Huzhou Central Hospital, Huzhou 313000, Zhejiang, China.
Objective: To focus on the imaging features of liposclerosing myxofibrous tumor (LSMFT) and diagnostic challenges to enhance clinical recognition and differential diagnosis accuracy.
Methods: Retrospective analysis was conducted on the imaging and pathological data from 21 cases diagnosed with LSMFT between January 2014 and November 2022, including 14 males and 7 females (aged from 21 to 73 years; the course of disease ranged from 4 to 48 months). Patient demographics, clinical presentations, and imaging modalities including X-ray, CT, and MRI were reviewed.
Orthop J Sports Med
October 2024
Faculty of Sport Sciences, Waseda University, Tokorozawa, Saitama, Japan.
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