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Soft-tissue necrosis complicating tibial osteotomy in a child with Proteus syndrome
T Raboudi1, S Bouchoucha1, B Hamdi1
1Service d'Orthopédie de l'Enfant et l'Adolescent, hôpital d'Enfants Béchir-Hamza de Tunis, Bab Saadoun, Tunis 1007, Tunisia.
Introduction:
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.
Case Report:
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.
Discussion:
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.
