Skip to Content
LifeBridge Health
About
Contact
Careers
Giving
Patient Portal
Physician Portal
LBH Partners
Bill Pay
410-601-8500
Search
×
LifeBridge Health
Find A Doctor
Services
Giving
Careers
About
Contact
Careers
Giving
Patients
Physicians
Partners
Bill Pay
410-601-WELL (9355)
Search
Section Menu...
Conditions Treated
• Our Medical Services
• The Concept
• The Process
• Examples of Treatment
• Amputees with Short Residual Limbs
• Arthritis
• Bone Defects from Tumors, Trauma, or Infection
• Bone Infection
• Making A Difference: Caring For Clubfoot at Sinai Hospital of Baltimore
• Nonunions (Pseudarthrosis)
• Short Individuals without Dwarfism (Cosmetic Stature Lengthening)
• Photos of Clubfoot Treatment
• Perthes and Adolescent Avascular Necrosis of Hip
• Dwarfism | Achondroplasia and Hypochondroplasia
• Joint Contractures and Pterygium
• Osteomyelitis (Bone Infection)
• Foot Deformities
• Limb Length Discrepancy (LLD)
• Bone Deformities
• Upper Extremity Deformities
In This Section
The Rubin Institute for Advanced Orthopedics (RIAO)
>
International Center for Limb Lengthening
>
Our Medical Services
>
Conditions Treated
>
Congenital Femoral Deficiency/Congenital Short Femur
Congenital Femoral Deficiency/Congenital Short Femur
Case Examples
A. Standing anteroposterior view radiograph of a 2-year-old boy with Type 1 congenital femoral deficiency (limb length discrepancy = 7 cm) and coxa vara. The neck shaft angle = 95° relative to the proximal shaft of the femur. The proximal femoral physis is relatively horizontally inclined. There is a diaphyseal varus of 20°.
B. Treatment by proximal femoral valgus external rotation osteotomy. The proximal coxa vara was not corrected, but the diaphyseal varus was corrected. The lengthening is performed through a distal femoral osteotomy. The lengthening is being performed with an Ilizarov apparatus. The external fixation extends to the tibia, with hinges to allow for knee motion.
C. Final standing anteroposterior view radiographs obtained after limb lengthening (7 cm).
D. Clinical photographs obtained when the patient was 7 years old. He underwent growth stimulation after lengthening and had a 1.5-cm leg length discrepancy at age 7 years.
E. Clinical photograph shows maximum knee flexion at age 7 years.
A. Anteroposterior view radiograph of the pelvis in a 3-year-old girl shows that the center edge angle = 11° on the short side and 15° on the long side. Both sides are dysplastic. The minimal normal center edge angle that is safe for lengthening is 20°.
B. Anteroposterior view radiograph of pelvis shows that the center edge angle = 35° after a Dega osteotomy that was performed before lengthening of the femur.
Loading...