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Limb Deficiency

  • Jose M. Ramirez
Chapter

Abstract

Limb deficiency can be congenital or acquired. Understanding the relative contributions of the different physes of the lower extremity can help estimate and correct limb deficiencies.

Keywords

Physeal arrest Guided growth Leg length discrepancy Epiphysiodesis 

What is the expected yearly contribution to longitudinal growth of the distal femoral physis/proximal tibial physis?

9 mm per year/6 mm per year

What is the expected yearly contribution to longitudinal growth of the proximal tibial physis?

6 mm per year

What is the preferred management of a patient with a 2 cm leg length discrepancy?

Observation and/or shoe lift

How is a 2–5 cm leg length discrepancy typically addressed surgically?

Epiphysiodesis of the longer extremity

Copyright information

© Springer International Publishing AG, part of Springer Nature 2018

Authors and Affiliations

  • Jose M. Ramirez
    • 1
  1. 1.Department of Orthopaedic SurgeryAlpert Medical School of Brown UniversityProvidenceUSA

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