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Soft-tissue necrosis complicating tibial osteotomy in a child with Proteus syndrome.
[proteus syndrome]
Proteus
syndrome
is
a
rare
congenital
hamartomatous
disease
frequently
responsible
for
musculoskeletal
deformities
.
The
results
and
complications
of
surgical
treatment
are
not
well
documented
owing
to
the
scarcity
of
reported
cases
.
The
authors
report
a
case
of
poor
evolution
of
valgus
proximal
tibial
osteotomy
in
a
6
-
year
-old
girl
with
Proteus
syndrome
.
The
surgery
was
complicated
by
extensive
deep
wound
necrosis
exposing
the
tibial
bone
,
necessitating
surgical
excision
,
antibiotherapy
and
controlled
wound
healing
.
At
1
year
postoperatively
,
the
deformity
recurred
.
The
possibility
of
serious
wound
complications
and
of
recurrence
must
be
kept
in
mind
when
operating
on
a
limb
deformity
in
patients
with
Proteus
syndrome
.
Potential
complications
should
be
taken
into
account
in
selecting
the
surgical
correction
technique
:
epiphysiodesis
may
be
preferable
to
osteotomy
.
Diseases
Validation
Diseases presenting
"deep wound necrosis"
symptom
proteus syndrome
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