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The Journal of Bone and Joint Surgery, Vol 71, Issue 2 273-277, Copyright © 1989 by Journal of Bone and Joint Surgery, Inc

JOURNAL CONTENTS

Treatment of hemimelias of the lower extremity. Long-term results

CH Epps and PL Schneider
Division of Orthopaedic Surgery, Howard University Hospital, Washington D.C. 20060.

We used contemporary methods, including early surgical intervention (usually amputation) and prosthetic rehabilitation, to treat tibial or fibular hemimelia in thirty-three patients (forty-four limbs); twenty-four patients (twenty-nine limbs) had adequate follow-up, and their cases are reported here. After an average length of follow-up of sixteen years, all except two of the patients had an excellent or a good result. No patient had migration of the heel pad or a slough or infection of the skin, and only one patient needed a second operation. The Brown procedure was done on three limbs (two patients), but it always had to be supplemented by a corrective operation. We concluded that early surgical treatment and prosthetic rehabilitation yield an excellent result, not only for the short term but also for the long term.
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