A severe equinovarus foot in a child with primary lymphedema

Mami Sugano , Toru Yamaguchi , Yoshihisa Kawakami , Tomoyuki Nakamura , Haruhisa Yanagida , Kazuyuki Takamura
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Abstract

Background

Primary lymphedema is a rare disease, and there is no study on the treatment of joint disability or foot deformity with lymphedema.

Case presentation

A 6 years and 9 months old boy with primary congenital lymphedema presented with a severe untreated equinovarus foot. The posteromedial release was performed, and 1 year later, he gained a plantigrade foot and the ability to stand and walk with Ankle-Foot Orthoses.

Conclusion

Reports describing the treatment of foot deformities associated with primary congenital lymphedema are lacking. We successfully treated an acquired severe equinovarus foot considering the skin fragility associated with lymphedema.
原发性淋巴水肿儿童的严重马蹄内翻足
背景原发性淋巴水肿是一种罕见的疾病,目前还没有关于淋巴水肿治疗关节残疾或足部畸形的研究。一个6岁零9个月大的男孩,患有原发性先天性淋巴水肿,表现为未经治疗的严重马蹄内翻足。进行后内侧松解术,1年后,患者获得了跖屈足,并使用踝足矫形器站立和行走能力。结论有关原发性先天性淋巴水肿足部畸形治疗的报道较少。考虑到与淋巴水肿相关的皮肤脆弱,我们成功地治疗了获得性严重马蹄内翻足。
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