One-stage circumferential limb ring constriction release and direct circular skin closure in amniotic band syndrome:
Benjamin Dufournier1, Stéphane Guero2, Marine de Tienda1
1Service de chirurgie orthopédique pédiatrique, université de Paris, hôpital Necker-Enfants malades, AP-HP, Paris, France.
Abstract:
The aim of the present study was to report results of direct circular suture after 1-stage circumferential resection of limb ring constriction in amniotic band syndrome. A multicentre retrospective study included 14 patients with amniotic band syndrome (mean age, 13.3 months) operated on between 2004 and 2019 by circumferential release of ≥1 ring constriction. Assessment was based on limb function and clinical scar aspect on the POSAS and Vancouver scales. Mean follow-up was 3.9 years. There were no scar-related, vascular or neurologic complications, postoperatively or at last follow-up. POSAS and Vancouver scores were satisfactory. One-stage circumferential release with direct closure is a simple technique that provides satisfactory functional and esthetic results.
