International journal of surgery case reports · 2026
Management of proximal femoral focal deficiency with limited resources amid war in a child with multiple skeletal deformities: a case report.
Клинический случайСтатьяНазвание и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
Загрузка состояния…
Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
Kadora Thaer, Debsawi Hussein, Debsawi Hassan, Hanino Ahmad, Alatrash Abdulhakim
Аннотация
INTRODUCTION AND IMPORTANCE: Proximal femoral focal deficiency is a rare congenital anomaly marked by underdevelopment of the proximal femur, frequently presenting with limb-length discrepancy and functional limitation. Management is particularly challenging in conflict-affected, low-resource settings where diagnostic and therapeutic resources are limited.
CASE PRESENTATION: An 18-month-old female presented with progressive limb-length discrepancy and abnormal gait. Radiographs showed shortened proximal femur, complete left fibular absence, tibial bowing and shortening, calcaneovalgus deformity, and loss of the fifth ray. A staged surgical plan included femoral lengthening with a monoaxial external fixator, tibial lengthening and alignment correction with an Ilizarov frame, and subsequent pelvic and tibial corrective osteotomies. Each stage was followed by structured physiotherapy.
DISCUSSION: Despite wartime resource constraints, phased reconstruction reduced discrepancy and improved gait by combining established limb-reconstruction techniques with context-sensitive adaptations.
CONCLUSION: Strategic, staged reconstruction can deliver meaningful functional outcomes for complex congenital limb anomalies even in severely resource-limited settings.
CASE PRESENTATION: An 18-month-old female presented with progressive limb-length discrepancy and abnormal gait. Radiographs showed shortened proximal femur, complete left fibular absence, tibial bowing and shortening, calcaneovalgus deformity, and loss of the fifth ray. A staged surgical plan included femoral lengthening with a monoaxial external fixator, tibial lengthening and alignment correction with an Ilizarov frame, and subsequent pelvic and tibial corrective osteotomies. Each stage was followed by structured physiotherapy.
DISCUSSION: Despite wartime resource constraints, phased reconstruction reduced discrepancy and improved gait by combining established limb-reconstruction techniques with context-sensitive adaptations.
CONCLUSION: Strategic, staged reconstruction can deliver meaningful functional outcomes for complex congenital limb anomalies even in severely resource-limited settings.