Open AccessSurgical Treatment of Ledderhose Disease in Patient with Mucopolysaccharidosis Type I (Hurler-Sheie)
Author(s) -
N. A Koryshkov,
Л. К. Михайлова,
A. S. Khodjiev
Publication year - 2015
Publication title -
vestnik travmatologii i ortopedii imeni n.n. priorova
Language(s) - English
Resource type - Journals
eISSN - 2658-6738
pISSN - 0869-8678
DOI - 10.17816/vto201522181-83
Subject(s) - medicine , palpation , aponeurosis , mucopolysaccharidosis , enzyme replacement therapy , ankle , surgery , mucopolysaccharidosis type i , disease , foot (prosody) , mucopolysaccharidosis i , resection , peroneus longus , pathology , linguistics , philosophy
Case report of a 29 years old female patient with mucopolysaccharidosis type I and Ledderhose disease is presented. Examination of plantar surfaces showed tumor like protrusions up to 6.5 cm, of irregular shape and extremely painful at palpation, on both feet. Resection of plantar aponeurosis and fibrotic nodes on both feet was performed against a background of pathogenetic enzyme replacement therapy. No complications were observed in postoperative period. This case illustrates that in such patients performance of early surgical intervention at specialized departments is possible and reasonable, as it enables to restore weight bearing ability of the foot as well as significantly increases the quality of life.