Congenital Malformations

MOONEY, JAMES F.; Slovis, Thomas L.

doi:10.1016/b978-0-323-04520-9.50065-4

Cited by 2 publications

(1 citation statement)

References 39 publications

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“…Bilaterally affected patients are reported to occur in 15% of presentations. 46 They may present with more complicated deformities such as congenital knee fusions but typically have less of a length discrepancy between sides. These instances may have a higher likelihood of a genetic or teratologic agent.…”

Section: Management Considerationsmentioning

confidence: 99%

Proximal Femoral Focal Deficiency/Congenital Femoral Deficiency: Evaluation and Management

Nossov

Hollin

Phillips

et al. 2022

J Am Acad Orthop Surg

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Proximal focal femoral deficiency is a congenital transverse deficiency in which the femur is globally smaller with a typical proximal deformity at the hip that may include distal involvement of knees, leg, and feet. Congenital femoral deficiency (CFD) describes a broader spectrum of longitudinal deficiency inclusive of proximal focal femoral deficiency. CFD may also include lateral distal femoral hypoplasia, knee cruciate ligament deficiency, rotational instability, patellar dislocation, fibular hemimelia, ray absence, and contralateral limb involvement. Treatment intends to maximize function by limb equalization and deformity correction ranging from nonsurgical management using prosthetics to amputation and may include lengthening, shortening, and complex limb reconstruction. Management decisions depend on overall severity and the patient and family's preferences and priorities. Owing to its complexity, CFD is best treated by clinicians with considerable deformity treatment experience who can help guide decision making and embark on a treatment course that will maximize the functional outcome.

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Section: Management Considerationsmentioning

confidence: 99%