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The Klippel-Trenaunay syndrome
1Disablement Services Centre, Roehampton, London, England.
The Journal of Bone and Joint Surgery. British Volume
|January 1, 1991
Summary
Klippel-Trenaunay Syndrome (KTS) patients may require amputation due to congenital anomalies. This study details systemic issues, stump complications, and prosthetic challenges in four KTS amputees over 10-24 years.
Area of Science:
- Vascular Surgery
- Orthopedic Surgery
- Rehabilitation Medicine
Background:
- Klippel-Trenaunay Syndrome (KTS) is a rare congenital disorder presenting as a triad of vascular naevus, varicose veins, and limb hypertrophy.
- Amputation is sometimes necessary for managing KTS, leading to unique patient care challenges.
- Long-term outcomes for KTS amputees are not well-documented.
Observation:
- This paper examines four patients with KTS who underwent amputation.
- The study focuses on systemic problems, stump healing complications, and prosthetic fitting difficulties.
- Follow-up periods ranged from 10 to 24 years post-amputation.
Findings:
- KTS amputees face significant systemic complications, including vascular and soft tissue issues.
- Stump complications such as infection, poor healing, and pain were prevalent.
- Prosthetic use was often complicated by limb asymmetry, hypertrophy, and skin integrity issues.
Implications:
- Effective management of KTS amputees requires a multidisciplinary approach addressing vascular, orthopedic, and prosthetic needs.
- Further research is needed to develop specialized prosthetic solutions and long-term care protocols for KTS patients.
- Understanding these challenges can improve surgical planning and post-operative rehabilitation for KTS amputees.