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Lengthening Reconstruction Surgery for Congenital Femoral Deficiency

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Abstract

Congenital femoral deficiency (CFD) is a spectrum of severity of femoral deficiency, deformity, and discrepancy. Deficiency implies a lack of integrity, stability, and mobility of the hip and knee joints. Deformity refers to bony malorientation, malrotation, and soft tissue contractures of the hip and knee. Both deficiencies and deformities are present at birth, nonprogressive, and of variable degree. Discrepancy refers to limb length and is progressive.

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References

  • Alman BA, Krajbich JI, Hubbard S (1995) Proximal femoral focal deficiency: results of rotationplasty and Syme amputation. J Bone Joint Surg Am 77:1876–1882

    CAS  PubMed  Google Scholar 

  • Amirault JD, Cameron JC, MacIntosh DL, Marks P (1988) Chronic anterior cruciate ligament deficiency: long-term results of MacIntosh’s lateral substitution reconstruction. J Bone Joint Surg Br 70:622–624

    CAS  PubMed  Google Scholar 

  • Brown KL (2001) Resection, rotationplasty, and femoropelvic arthrodesis in severe congenital femoral deficiency: a report of the surgical technique and three cases. J Bone Joint Surg Am 83:78–85

    Article  PubMed  Google Scholar 

  • Burghardt RD, Herzenberg JE, Standard SC, Paley D (2008) Temporary hemiepiphyseal arrest using a screw and plate device to treat knee and ankle deformities in children: a preliminary report. J Child Orthop 2(3):187–197

    Article  PubMed Central  PubMed  Google Scholar 

  • Grammont PM, Latune D, Lammaire IP (1985) Treatment of subluxation and dislocation of the patella in the child: Elmslie technic with movable soft tissue pedicle (8 year review) [in German]. Orthopade 14:229–238

    CAS  PubMed  Google Scholar 

  • Grudziak JS, Ward WT (2001) Dega osteotomy for the treatment of congenital dysplasia of the hip. J Bone Joint Surg Am 83-A(6):845–854

    CAS  PubMed  Google Scholar 

  • Krackow KA, Thomas SC, Jones LC (1988) Ligament-tendon fixation: analysis of a new stitch and comparison with standard techniques. Orthopedics 11(6):909–917

    CAS  PubMed  Google Scholar 

  • Langenskiöld A, Ritsila V (1992) Congenital dislocation of the patella and its operative treatment. J Pediatr Orthop 12:315–323

    Article  PubMed  Google Scholar 

  • Manner HM, Radler C, Ganger R, Grill F (2006) Dysplasia of the cruciate ligaments: radiographic assessment and classification. J Bone Joint Surg Am 88(1):130–137

    Article  PubMed  Google Scholar 

  • Millis MB, Hall JE (1979) Transiliac lengthening of the lower extremity. A modified innominate osteotomy for the treatment of postural imbalance. J Bone Joint Surg 61A:1182

    Google Scholar 

  • Nogueira MP, Paley D (2011) Prophylactic and therapeutic peroneal nerve decompression for deformity correction and lengthening. Oper Tech Orthop 21:180–183

    Article  Google Scholar 

  • Nogueira MP, Paley D, Bhave A, Herbert A, Nocente C, Herzenberg JE (2003) Nerve lesions associated with limb-lengthening. J Bone Joint Surg Am 85-A(8):1502–1510

    PubMed  Google Scholar 

  • Paley D (1990) Problems, obstacles, and complications of limb lengthening by the Ilizarov technique. Clin Orthop Relat Res (250):81–104. Review

    Google Scholar 

  • Paley D (1998) Lengthening reconstruction surgery for congenital femoral deficiency. In: Herring JA, Birch JG (eds) The child with a limb deficiency. AAOS, Rosemont, pp 113–132

    Google Scholar 

  • Paley D (2005a) Chapter 12. Six -axis deformity analysis and correction. In: Principles of deformity correction, 1st edn. 2002. Corr. 3rd printing 2005. Springer, Heidelberg, Germany, pp 411–436

    Google Scholar 

  • Paley D (2005b) Chapter 10. Lengthen consideration: gradual versus acute correction of deformities. In: Principles of deformity correction, 1st ed. 2002. Corr. 3rd printing 2005. Springer, Heidelberg, Germany, pp 269–289

    Google Scholar 

  • Paley D (2005c) Chapter 3. Radiographic assessment of lower limb deformities. In: Principles of deformity correction, 1st edn. 2002. Corr. 3rd printing 2005. Springer, Heidelberg, Germany, pp 31–60

    Google Scholar 

  • Paley D (2005d) Chapter 2. Malalignment and malorientation in the frontal plane. In: Principles of deformity correction, 1st edn. 2002. Corr. 3rd printing 2005. Springer, Heidelberg, Germany, pp 19–30

    Google Scholar 

  • Paley D, Bhave A, Herzenberg JE, Bowen JR (2000) Multiplier method for predicting limb-length discrepancy. J Bone Joint Surg Am 82-A(10):1432–1446

    CAS  PubMed  Google Scholar 

  • Pappas AM (1983) Congenital abnormalities of the femur and related lower extremity malformations: classification and treatment. J Pediatr Orthop 3(1):45–60

    Article  CAS  PubMed  Google Scholar 

  • Rozbruch SR, Paley D, Bhave A, Herzenberg JE (2005) Ilizarov hip reconstruction for the late sequelae of infantile hip infection. J Bone Joint Surg Am 87(5):1007–1018

    Article  PubMed  Google Scholar 

  • Salter RB (1978) The classic. Innominate osteotomy in the treatment of congenital dislocation and subluxation of the hip by Robert B. Salter, J. Bone Joint Surg. (Brit) 43B:3:518, 1961. Clin Orthop Relat Res (137):2–14

    Google Scholar 

  • Sanpera I Jr, Sparks LT (1994) Proximal femoral focal deficiency: does a radiologic classification exist? J Pediatr Orthop 14:34–38

    Article  PubMed  Google Scholar 

  • Suzuki S, Kasahara Y, Seto Y, Futami T, Furukawa K, Nishino Y (1994) Dislocation and subluxation during femoral lengthening. J Pediatr Orthop 14:343–346

    Article  CAS  PubMed  Google Scholar 

  • Torode IP, Gillespie R (1983) Rotationplasty of the lower limb for congenital defects of the femur. J Bone Joint Surg Br 65:569–573

    CAS  PubMed  Google Scholar 

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Correspondence to Dror Paley MD, FRCSC .

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Paley, D., Guardo, F. (2015). Lengthening Reconstruction Surgery for Congenital Femoral Deficiency. In: Kocaoğlu, M., Tsuchiya, H., Eralp, L. (eds) Advanced Techniques in Limb Reconstruction Surgery. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-55026-3_13

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  • DOI: https://doi.org/10.1007/978-3-642-55026-3_13

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  • Publisher Name: Springer, Berlin, Heidelberg

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  • Online ISBN: 978-3-642-55026-3

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