After a review of previous classifications the authors suggest that cases of congenital longitudinal deficiency of the femur fall into one of two groups, each with specific features. The treatment alternatives and their indications are discussed in detail and a treatment plan suggested.
References
1.
AitkenG. T. (1969) Proximal femoral focal deficiency—definition, classification and management. Proximal femoral focal deficiency—a congenital anomaly: a Symposium held, Washington, DC, June, 131968. National Academy of Sciences, Washington, DC, 1–22
2.
AmstotzH. C.WilsonP. D. Dysgenesis of the proximal femur (coxa vara) and its surgical management. J. Bone Joint Surg.1962; 44A: 1–24
3.
BochmannD. Prosthetic devices for the management of proximal femoral focal deficiency. Ortho-Pros. (Can.)1980; 4–29
4.
BorggreveJ. Kniegelenkseratx durch das in der Beinlangsacb.se um 180 gedrehte Fusgelenk. Arch. Orthop. Chir.1930; 28: 175–178
5.
CanaleS. T.RussellT. A.HolcombR. L. Percutaneous epiphysiodesis: experimental study and preliminary and clinical results. J. Pediatr. rthop.1986; 6: 150–156
6.
FixsenJ. A.Lloyd-RobertsG. A. The natural history and early treatment of proximal femoral dysplasia. J. Bone Joint Surg.1974; 56B: 86–95
7.
FixsenJ. A. Rotationplasty. J. Bone Joint Surg.1983; 65B: 529–530
8.
GillespieR.TorodeI. P. Classification and management of congenita] abnormalities of the femur. Bone Joint Surg.1983; 65B: 557–568
9.
HamanishiC. Congenital short femur: clinical, genetic and epidemiological comparison of the naturally occurring condition with that caused by Thalidomide. J. Bone Joint Surg.1980; 62B: 307–20
10.
HillmanJ. S.MesgarzadehM.ReveszG.Bonakdarpour ClancyA. M.BetzR. R. Proximal femoral focal deficiency: radiologic analysis of 49 cases. Radiol.1987; 165: 769–771
11.
JohanssonE.AparisiT. Missing cruciate ligament and congenital short femur. J. Bone Joint Surg.1983; 65A: 1109–1115
12.
KingR. E. (1968) Some concepts of proximal femoral focal deficiency. Proximal femoral focal deficiency—a congenital anomaly: a symposium held, Washington, DC, June, 131968. National Academy of Sciences, Washington, DC, 23
13.
KostuikJ. P.GillespieR.HallJ. E.HubbardS. Van Nes rotational osteotomy for treatment of proximal femoral focal deficiency and congenital snort femur. J. Bone Joint Surg.1975; 57A: 1975, 1039–46
14.
LangeD. R.SchoeneckerP. L.BakerC. L. Proximal femoral focal deficiency: treatment and classification in forty-two cases. Clin. Orthop.1978; 135: 15–25
15.
MillisM. B.HallJ. E. Transiliac lengthening of the lower extremity: a modified innominate osteotomy for the treatment of postural imbalance. Bone Joint Surg.1979; 61A: 1182–1194
16.
SteelH. H.LinP. S.BetzR. R.KlamchiaC. M. Ilio-femoral fusion for proximal femoral focal deficiency. Bone Joint Surg.1987; 69A: 837–843
17.
TorodeI. P.GillespieR. 1 Anteroposterior instability of the knee: a sign of congenital limb deficiency. J. Pediatr. Orthop.1983; 3: 467–470
18.
TorodeI. P.GillespieR. 2 Rotationplasty of the lower limb for congenital defects of the femur. J. Bone Joint Surg.1983; 65B: 569–573
19.
Van NesC. P. Rotation-plasty for congenital defects of the femur: making use of the ankle for the shortened limb to control the knee joint of the prosthesis. J. Bone Joint Surg.1950; 32B: 12–16
