Orthopaedic treatment of hemangiomatous hypertrophy of the lower extremity

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Letts-RM J-Bone-Joint-Surg-Am. 1977 Sep; 59(6): 777-83 The triad of varicose veins, hypertrophy of soft tissue and bone, and cutaneous hemangiomas (The Klippel-Trenaunay syndrome) often results in major malformations. A review of eleven children treated for this condition showed that the overgrowth of the limb was a major problem in management. In three patients the altered hemodynamics resulted in cardiac complications. Venous stripping, excision of the arteriovenous fistulae, and radiation therapy should be avoided.