Case report of congenital constriction ring of right thigh with impending amputation operated on day 1 of birth with linear excision

Abstract

Introduction: Congenital peripheral constriction ring originating from soft tissues of the leg that is characterized with compression in the soft tissue usually involving the deep fascia surrounding the leg at the time of birth is occasionally observed in lower extremity. At the region of the constriction, fractures of tibia and fibula and foot deformities like clubfoot can be observed. Case presentation: In our report, 1 day old neonate with congenital constriction band zone 1 grade 3 right side with ulceration in the local region and impending amputation presented to us. We operated it with linear excision technique, removed constriction and limb was salvaged. Conclusion: Congenital-constricting bands can be effectively released with linear excision. Linear excision is simple and very fast way of releasing constriction in high risk surgery cases.