The complications in untreated congenital short femur

The complications in untreated congenital short femur

Diagnosis and treatment of patients with congenital short femur is usually dealt with in childhood. It is not, therefore, clear what kind of complications may develop by time when the disease is left to its natural course. In this study, three cases at the ages of 9, 18 and 38 with bilateral congenital short femur, who have never received any treatment before, were presented together with the complications observed. It was determined that in patients who did not receive timely and sufficient treatment, disrupted extremity alignment could affect by time the femoral and the tibial lateral condyles as well as the proximal tibia, causing developmental deficiency and deformations in those locations, and even spontaneous fractures in bone regions where stress was intensified.

___

  • Bowen, J.R., Kumar, S.J., Orellana, C.A., Andreacchio, A., Cardona, J.I., 2001. Factors leading to hip subluxation and dislocation in femoral lengthening of unilateral congenital short femur. J. Ped. Orthop. 21, 354-359.
  • Epps, C.H., 1983. Current concepts review: Proximal femoral focal deficiency. J. Bone. Joint. Surg. Am. 65, 867-870.
  • Gillespie, R., Torode, I.P., 1983. Classification and management of congenital abnormalities of the femur. J. Bone. Joint. Surg. Br. 65, 557-568.
  • Herring, J.A., 2008. Tachdjian’s pediatric orthopaedics, W.B. Saunders Company, Philadelphia. 3, 1983-2054.
  • Hosalkar, H.S., Jone, S., Chowdhury, M., Hartley, J., Hill, R.A., 2003. Quadricepsplasty for knee stiffness after femoral lengthening in congenital short femur. J. Bone. Joint. Surg. Br. 85, 261-264.
  • Johansson, E., Aparisi, T., 1983. Missing cruciate ligament in congenital short femur. J. Bone. Joint. Surg. Am. 65, 1109-1115.
  • Kalamchi, A., Cowell, H.R., Kim, K.I., 1985. Congenital deficiency of the femur. J. Ped. Orthop. 5, 129-134.
  • Pappas, A.M., 1983. Congenital abnormalities of the femur and related lower extremity malformations: Classification and treatment. J. Ped. Orthop. 3, 45-60.
  • Sanpera, I., Sparks, L.T., 1994. Proximal femoral focal deficiency: Does a radiologic classification exist? J. Ped. Orthop. 14, 34-38.
  • Sharrard, W.J.W., 1993. Pediatric orthopaedics and fractures. Blackwell, London.