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Congenital Femoral Deficiency Reconstruction and Lengthening Surgery

  • Chapter
Pediatric Lower Limb Deformities

Abstract

Congenital femoral deficiency (CFD), also known as proximal femoral focal deficiency, is a rare birth defect that can affect the hip, femur, and knee. The spectrum of deformity can range from mild shortening to a proximal or distal deficiency, or even complete absence of the femur. This chapter is a comprehensive review of CFD, including the history, pathology, classification, and treatment of CFD. Genetics, embryology, and pathophysiology are reviewed. The anatomy and deformity are discussed, including a review of multiple classification schemes and a history of previous treatment. This chapter also includes a guide to diagnosing, examining, and developing a treatment plan for CFD, based on the modern Paley classification scheme. Detailed surgical technique includes the indications, complications, and techniques of limb lengthening in CFD, as well as a historical perspective and stepwise technique for the Superhip and Superknee procedures as developed by the author.

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Authors and Affiliations

  1. St. Mary’s Medical Center, Paley Advanced Limb Lengthening Institute, 901 45th Street, Kimmel Building, West Palm Beach, FL, 33407, USA

    Dror Paley MD, FRCSC

  2. Department of Orthopedic Surgery, University of Oklahoma Health Sciences Center, Oklahoma City, OK, 73104, USA

    David Y. Chong MD

  3. Memorial Sloan Kettering Cancer Center, 1275 York Avenue, New York, NY, 10065, USA

    Daniel E. Prince MD, MPH

Authors
  1. Dror Paley MD, FRCSC
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  2. David Y. Chong MD
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  3. Daniel E. Prince MD, MPH
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Correspondence to Dror Paley MD, FRCSC .

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Editors and Affiliations

  1. Professor, Department of Orthopedics; Chief, Division of Pediatric Orthopedics, Rutgers-New Jersey Medical School, Newark, New Jersey, USA

    Sanjeev Sabharwal

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Paley, D., Chong, D.Y., Prince, D.E. (2016). Congenital Femoral Deficiency Reconstruction and Lengthening Surgery. In: Sabharwal, S. (eds) Pediatric Lower Limb Deformities. Springer, Cham. https://doi.org/10.1007/978-3-319-17097-8_22

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