Commentary on: Combination of Lipofilling With Liposuction in the Correction of Pseudo Genu Varus Deformity

Gusenoff, Jeffrey A.; Gusenoff, Beth R

doi:10.1093/asj/sjz337

Cited by 1 publication

(1 citation statement)

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“…The whole area of the knee was marked for liposuction in sitting position with the knee at 90 degrees of flexion to prevent the likelihood of postliposuction depression in the medial knee during flexion [8]. A tumescent solution (a dilute anesthetic solution consisting of 0.05 % lidocaine and epinephrine 1 : 1.000.000) [9] was prepared; 80 ml around the knee and 50 ml around the ankle were infiltrated using a cannula with a diameter of 3 mm.…”

Section: Surgical Techniquementioning

confidence: 99%

Esthetic and Functional Improvement of Asymmetric Lower Limb Overgrowth in a Proteus Syndrome Patient: a Combined Surgical Technique

et al. 2021

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Proteus syndrome is a rare, sporadic, congenital syndrome that causes asymmetric and disproportionate overgrowth of limbs, connective tissue nevi, epidermal nevi, alteration of adipose tissue, and vascular malformations. Genetic mosaicism, such as activating mutations involving protein kinase AKT1, phosphoinositide 3 kinase (PI3-K), and phosphatase and tensin homolog (PTEN), may be important causes of Proteus syndrome. However, many patients have no evidence of mutations in these genes. Currently, the diagnosis is clinical and based on phenotypic features. This article reports a case of Proteus syndrome in a 14-year-old female patient who presented with linear epidermal nevi, viscera anomalies, and adipose tissue dysregulation. She showed an asymmetric progressive overgrowth of the right lower limb after birth bringing relevant functional and esthetic consequences. Therefore, she asked a plastic surgery consultation and a surgical treatment with a combined technique was planned. With our approach, we were able to reduce leg diameter and improve joint mobility reliably and safely with satisfying esthetic results.

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Section: Surgical Techniquementioning

confidence: 99%