Optimization of Tactics for the Treatment of Patients with Congenital Shortening of Lower Extremities

Abstract

Forty-three patients, 2.5-18 years aged, with shortening of lower extremity from 4 to 25 cm caused by congenital femur abnormality were observed at the Department of Pediatric Orthopaedics of CITO. Two patients with pathology of class 1-2 by Papas underwent extremity prosthetics only. In 4 patients with significant (15-20 cm) extremity shortening due to proximal femur defect or disturbance of its continuity similar to pseudoarthrosis prosthetics was performed after surgical stabilization of the hip joint. In the other patients surgical correction of extremity length discrepancy was used. Good results were achieved in 34 (79.1%) patients, satisfactory - in 8 (18.6 %) and unsatisfactory - in 1 (2.3%) patient.