The Journal of Bone and Joint Surgery, Vol 59, Issue 6 777-783, Copyright © 1977 by Journal of Bone and Joint Surgery, Inc
Orthopaedic treatment of hemangiomatous hypertrophy of the lower extremity
RM Letts
The triad of varicose veins, hypertrophy of soft tissue and bone, and
cutaneous hemangiomas (The Klippel-Trenaunay syndrome) often results in
major malformations. A review of eleven children treated for this condition
showed that the overgrowth of the limb was a major problem in management.
In three patients the altered hemodynamics resulted in cardiac
complications. Venous stripping, excision of the arteriovenous fistulae,
and radiation therapy should be avoided.