Table 1.
Patient no. | Age at surgery (years) | Age at last follow-up (years) | Type of hemimelia | No. of rays | Sex | Previous surgeries | No. of surgeries required | Other cong. deformities | LLD at latest follow-up | Complications | No. of lengthenings | 1. Knee ROM 2. Knee alignment (at last f/u) |
PQLI |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1 | 5 | 16 | 1a | 5 | M | 4 | Small foot | 1.5 | Pin track infection, supracondylar femur fracture | 4 | 1. 5–120° | 70 | |
2. Neutral | |||||||||||||
2 | 9 | 19 | 1a | 4 | M | Soft tissue release, TA lengthening | 4 | Syndactyly of toes | 2 | Pin track infection, knee contacture, valgus angulation of tibia, stress fracture through regenerate, flexion contracture of toes, distal femoral fracture. Delayed union. Bone grafting | 2 | 1. 5–120° | 79 |
2. 10° Valgus | |||||||||||||
3 | 4 | 8 | 2 | 4 | F | Soft tissue release, excision of anlage, centralisation of the foot | 1 | 3 | Knee contracture | 1 | 1. 0–130° | 76 | |
2. 5° Valgus | |||||||||||||
4 | 11 | 16 | 2 | 3 | M | 3 | Hypoplastic lateral femoral condyle | 2.3 | Knee contracture | 1 | 1. 0–110° | 24 | |
2. Neutral | |||||||||||||
5 | 7 | 17 | 1a | 3 | M | 4 | Pin track infection, knee contracture, ankle equinus, valgus deformity of the knee | 2 | 1. 5–110° | 71 | |||
2. 5° Valgus | |||||||||||||
6 | 10 | 13 | 1a | 5 | M | 1 | Rudimentary 3 toe, hypoplasia of lateral femoral condyle, ball and socket ankle | 1.5 | Ankle equinus | 1 | 1. 0–140° | 55 | |
2. 10° Valgus | |||||||||||||
7 | 6 | 16 | 2 | 3 | F | Centralisation of foot | 6 | Anteromedial bowing of tibia, valgus deformity of knee, equinovalgus of foot | 2 | Pin track infection, osteomyelitis, knee contracture, distal femoral supracondylar fracture | 4 | 1. 10–90° | 56 |
2. Neutral | |||||||||||||
8 | 15 | 16 | 1a | 4 | M | 3 | Syndactyly of toes, small foot, tarsal coalition, ball and socket ankle | 0 | Pin track infection | 1 | 1. 5–100° | 57 | |
2. Neutral |
Knee contracture was defined as less than 45 degrees of movement