Abstract

BackgroundClubfeet and constriction band syndrome is a very rare non-idiopathic condition. Treatment is often difficult and the recurrence deformity rate is high. The purpose of this study was to assess the effectiveness of Ponseti method in the treatment of congenital constriction band syndrome accompanied by clubfoot deformity and lymphedema.Case presentationWe are presenting an interesting case of bilateral clubfeet and congenital circumferential constriction band syndrome in the lower limb. Ponseti method of correcting the congenital clubfoot deformity was applied. Constriction band release is accomplished by two stages completely excising the fibrous band and multiple two-stage Z-plasties on the right calf.ConclusionThe results of this study indicate that the Ponseti method of gentle, systematic manipulation and weekly cast changes is an effective treatment of non-idiopathic clubfoot distal to congenital amniotic constriction band.

Highlights

  • IntroductionThe constriction amniotic band syndrome (CABS) is a collection of fetal malformations associated with fibrous bands that appear to entangle various fetal parts in utero, leading to deformation malformation, or disruption [1, 2]

  • The results of this study indicate that the Ponseti method of gentle, systematic manipulation and weekly cast changes is an effective treatment of non-idiopathic clubfoot distal to congenital amniotic constriction band

  • The constriction amniotic band syndrome (CABS) is a collection of fetal malformations associated with fibrous bands that appear to entangle various fetal parts in utero, leading to deformation malformation, or disruption [1, 2]

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Summary

Introduction

The constriction amniotic band syndrome (CABS) is a collection of fetal malformations associated with fibrous bands that appear to entangle various fetal parts in utero, leading to deformation malformation, or disruption [1, 2]. The amniotic band syndrome occurs sporadically and the incidence is one case per around 15,000 live births. When a clubfoot deformity is suspected during prenatal ultrasound screening this should lead to a more thorough search for co-morbidity [11] This case is reported because of its extreme rarity of bilateral congenital constriction band syndrome accompanied by clubfoot deformity and lymphedema. The purpose of the present study was to evaluate the results of the Ponseti method for the treatment of clubfoot associated with constriction band syndrome. The purpose of this study was to assess the effectiveness of Ponseti method in the treatment of congenital constriction band syndrome accompanied by clubfoot deformity and lymphedema. Constriction band release is accomplished by two stages completely excising the fibrous band and multiple two-stage Z-plasties on the right calf

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