In children, limb length discrepancies and deformity commonly arise from birth defects (congenital) or after trauma. Congenital conditions include fibular hemimelia, congenital bowing of the tibia, congenital short femur, hemiatrophy or hemihypertrophy. Russel Silver Syndrome is another condition that leads to limb length discrepancies.
Trauma can also lead to limb shortening and deformity from either malunion or stunted growth at an injured growth plate. While bowleg and knock-knee deformities can arise after trauma, they can also be related to Blount's disease or Ellis van Creveld syndrome.
Dwarfism such as achondroplasia leads to short stature, limb deformity, and functional limitations.
Drs. Rozbruch and Fragomen perform advanced surgical techniques that reliably equalize limb length, correct deformities, and even increase stature in select conditions.
- Case 6: Femur Lengthening in a Child with a Growth-Plate Injury
- Case 29: Tibia Lengthening and Correction in a Child (pediatric) After Growth Plate Injury
- Case 41: Femur Lengthening with Monolateral EBI Frame for Growth Arrest
- Case 42: Lengthening and Straightening of a Humerus (arm) in Patient with Ollier's Disease
- Case 43: Limb Salvage of a Massive Tibial Bone Defect in a Child
- Case 54: Limb Salvage Reconstruction of Congenital Pseudoarthrosis of the Tibia with Bone Transport
- Case 58: Bone Transport for Reconstruction of a 17cm Bone Defect After Tumor Resection
- Case 63: Femur Lengthening in Young Child
- Case 69: Lengthening and correction of femur after growth arrest
- Case 71: Massive 20cm (8in) lengthening including femur lengthening over a nail (LON)
- Case 73: Femur lengthening and deformity correction after growth arrest
Bobby's Story: After three years, Bobby was finally able to get back on the football field
- Jocelyne's Story: "This doctor is the best! Look at the difference in my leg!"
- Lansana's Story: Rather than simply amputating Lansana's leg, as would normally be the practice in underserved regions of the world, Dr. Rozbruch gave Lansana a new leg and a new future.
- Limb lengthening for radiation-induced growth arrest of the pelvis and femur, Paul E. Matuszewski and S. Robert Rozbruch, Current Orthopaedic Practice, March/April 2010
- Limited Quadricepsplasty for Contracture during Femoral Lengthening - Saurabh Khakharia MD, Austin T. Fragomen MD, S. Robert Rozbruch MD
- Humeral lengthening and deformity correction in Ollier’s disease: distraction osteogenesis with a multiaxial correction frame published by Journal of Pediatric Orthopaedics in 2008
- Lengthening and Reconstruction of Congenital Leg Deficiencies for Enhanced Prosthetic Wear published by The Association of Bone and Joint Surgeons in October, 2007
Limb Lengthening with Dr. Rozbruch Part II: Jacob's Story
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