Journal Logo

Institutional members access full text with Ovid®

Lower Extremity Surgical Treatment to Improve Function in a Patient with Gollop-Wolfgang Complex

A Case Report

Albright, Patrick MS1; Veenstra, Joshua MD1; Habeck, Jason MD2; Bovid, Karen MD1

doi: 10.2106/JBJS.CC.18.00254
Case Reports
Buy
Disclosures

Case: Gollop-Wolfgang Complex (GWC) includes congenital absence of the tibia with ipsilateral distal femur bifurcation associated with hand/foot ectrodactyly. A 20-month-old male presented with GWC, including left bifid distal femur with ipsilateral tibial hemimelia and absent extensor mechanism, hypoplastic bilateral thumbs, and right foot tarsal-type preaxial polydactyly. Left through-knee amputation preserving growth and contralateral polydactyly reconstruction were performed. Complications of wound infection and dehiscence were successfully treated. Patient is 44 months old and ambulating with left knee disarticulation prosthesis and right supramalleolar orthosis.

Conclusions: Through-knee amputation and prosthetic fitting provides limb function for GWC patients with tibial hemimelia lacking an extensor mechanism.

1Department of Orthopaedic Surgery, Western Michigan University Homer Stryker M.D. School of Medicine, Kalamazoo, Michigan

2Watertown Regional Medical Center, Watertown, Wisconsin

E-mail address for K. Bovid: Karen.bovid@med.wmich.edu

Investigation performed at Western Michigan University Homer Stryker M.D. School of Medicine, Kalamazoo, Michigan

Disclosure: The Disclosure of Potential Conflicts of Interest forms are provided with the online version of the article (http://links.lww.com/JBJSCC/A797).

Copyright © 2019 by The Journal of Bone and Joint Surgery, Incorporated
You currently do not have access to this article

To access this article: