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CHAPTER 30
|
The Child with a Limb Deficiency
(35) (Figs. 30-6 to 30-8). They correlated the classification
with the discrepancy in length and recommended treatment
on the basis of the classification. Given the large variation
in the different aspects of fibular deficiency, including the
parents’ desire, it remains unlikely that classifications based
on radiographic appearance of the fibula will provide anything
more than a rough guide and a method of comparing patients
in different reports.
D
A
B
C
E
F
FIGURE 30-6.
A,B
: The radiographs of
a 3-month-old boy with type 1a fibular
deficiency of the Achterman and Kalamchi
classification. The proximal fibula is short.
C,D
: AP and lateral radiographs of the same
patient at the age of 7 years, 6 months. The
shortening of the fibula is more apparent and
the ball-and-socket ankle joint is easily seen.
E
: The foot at the same age, with the lateral
two rays missing.
F
: At 13 years of age, the
leg was lengthened by 7 cm.
