Case 1, presented by Roger F. Widmann, MD and Benjamin T. Bjerke-Kroll, MD, describes a 4-year-old boy who presented to Hospital for Special Surgery in 2008 with marked shortening of the right leg since birth. He was diagnosed in utero with Congenital Short Femur (CSF). The affected leg measured 14cm shorter, and the patient was able to walk only with a large lift under the right shoe. A staged procedure for limb lengthening was offered to the patientís family in an effort to salvage the extremity and achieve a more functional gait. After several planned procedures over an extended period of time, the patient is now 9 years old, and has a total limb length discrepancy of 8cm. For this patient, an additional lengthening procedure is planned to further address the residual discrepancy.
Click on the image below to enlarge and read the captions.