WOUND-HEALING IN ORTHOPEDIC PROCEDURES FOR KLIPPEL-TRENAUNAY-SYNDROME

Klippel-Trenaunay syndrome is a triad of cutaneous hemangiomas, varico se veins, and hypertrophy of soft tissue and bone; when combined with arteriovenous fistulas, the syndrome is known as Klippel-Trenaunay-Web er syndrome. Orthopaedic surgical management of localized limb-length discrepancy or hypertrophy in these conditions is frequently indicated , especially in the lower limb. Forty orthopaedic procedures in 21 pat ients were retrospectively reviewed. Nine (22.5%) wound complications were identified in this study group. All the complications were associ ated with transverse amputations. All required significant further tre atment and extension of hospital stay. Wound complications should be a nticipated in patients with Klippel-Trenaunay syndrome having orthopae dic surgical procedures, especially terminal amputations.