Congenital Pseudarthrosis of Femur and Sciatic Nerve Palsy with Congenital Constriction Band Syndrome: Report of the First Case in Literature

Congenital constriction band syndrome has varied clinical presentations ranging from small, incomplete skin deep constriction band to in utero amputation. Pseudarthrosis of underlying bone most commonly tibia has been reported by many authors. We report the first case of congenital pseudarthrosis of the femur with congenital constriction band syndrome. Nine-day-old female presented with the constriction band in the left thigh with open pseudarthrosis of the femur. The left femur had gross recurvatum deformity and the posterior apex of the pseudarthrosis was exposed via skin ulceration. She had an ipsilateral paralytic clubfoot. She was treated with single-stage excision of constriction band and Z-plasty. Spontaneous union of the femur was achieved at 3 months. Procurvatum deformity of the femur improved gradually over 3 years. This happens to be the first and only reported case of congenital pseudarthrosis of the femur with sciatic nerve palsy due to congenital constriction band.     

Orthopaedic Guide Wire Injury to Ileum in a Case of Fracture Neck of Femur

Iatrogenic perforation of the bowel is a rarity and no case has been reported in the literature so far, of iatrogenic ileal perforation due to orthopaedic guide wire insertion while doing open reduction and internal fixation of fracture neck of femur. As the number of these fixation procedures is increasing by the day it is imperative that surgeons remain aware of this potential complication and take pre-emptive measures to prevent it.