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Correction of leg inequality in the Klippel-Trenaunay-Weber syndrome

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Summary

Eight patients with Klippel-Trenaunay-Weber syndrome were treated for leg length inequality of as much as 10 cm in one ten year old, and one thirteen year old. In most cases adequate correction was achieved with epiphyseal stapling during active growth or definitive epiphysiodesis in older children. Bone shortening procedures in full-grown individuals may be indicated but the basic condition may make healing difficult. Ligation of the femoral artery had no effect on the growth of the affected leg.

Résumé

Huit malades atteints d'un syndrome de Klippel-Trenaunay-Weber ont été traités pour une inégalité de longueur qui atteignait 10 cm chez deux d'entre eux, âgés respectivement de 10 et de 13 ans. Dans la plupart des cas une correction adéquate a été obtenue par agrafage épiphysaire pendant la période de croissance ou par épiphysiodèse chez les enfants plus âgés. Le raccourcissement osseux peut être indiqué chez les sujets ayant terminé leur croissance, mais les conditions locales risquent de rendre la consolidation difficile. Quant à la ligature de l'artère fémorale, elle n'a aucun effet sur la croissance du membre atteint.

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Peixinho, M., Arakaki, T. & Toledo, C.S. Correction of leg inequality in the Klippel-Trenaunay-Weber syndrome. International Orthopaedics 6, 45–47 (1982). https://doi.org/10.1007/BF00267814

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