Unilateral Deformity Research Articles

EarWell Infant Ear Molding Device: Experience and Parent Survey.

EarWell infant ear molding device is a noninvasive, nonsurgical option to treat ear deformities in early infancy. There are no studies involving the parents' perspective to the use of the EarWell. To investigate our experience with EarWell infant ear molding device and to assess the parents' satisfaction. A retrospective case series study of infants with congenital ear deformities who were treated with EarWell device from October 2021 to November 2022. Demographic and clinical data were collected. Clinical photographs were obtained before, during, and after treatment. Parents' satisfaction level was assessed through telephone encounters and surveys, and issues associated with device application were identified. Clinical improvement of ear deformity was graded into poor, fair, good, and excellent. A total of 9 patients with congenital ear deformities were identified and included in this study (7 bilateral deformities and 2 unilateral deformities). The mean adjusted age of the initial treatment is 17 weeks (4-23 weeks), and the mean treatment duration is 5.7 weeks. The authors received full 8 responses from the parents' survey, and all parents were satisfied with post-treatment results (4 satisfied, 1 fully satisfied, and 2 very satisfied). Issues associated with device application were 3 superficial skin ulcers and 4 skin irritation. Clinical Improvement grades were: 5 excellent improvement, 2 good improvement, and 2 fair improvement. On the basis of our experience, the EarWell device has shown a high success rate and a low complication rate. It is well accepted by parents, but it needs close follow-up to detect minor device-related issues. The device is safe for multiple skin types.

UNILATERAL CLEFT NOSE DEFORMITY

INTRODUCTION Cleft lip deformity is a complex 3-dimensional congenital facial deformity which leads to poor functional, aesthetic and social outcomes. METHODOLOGY In order to optimize the aesthetic symmetry of unilateral cleft lip nasal deformity correction, we propose an anatomic technique involving reconstruction and restoration of the cleft side alone and to fashion it akin to the normal side in teh form of a case series. SURGICAL TECHNIQUE 1. All the cases were operated by the open Rhinoplasty approach, using the standard stair step trans-columellar and infracartilaginous incision. In unilateral cleft lip nose deformity, the whole lateral wall of nose including the nasal bone, the upper lateral cartilages and the lower lateral cartilages of the cleft side appears to be imbalanced with respect to the normal side. RESULT Based on the Rhinoplasty Out come Evaluation (ROE) questionnaire, all patients experienced improved appearance of the nose and felt less stigmatization from the society Keywords: Cleft lip deformity, Rhinoplasty, open Rhinoplasty

Skeletal Deformities in Cultured Striped Catfish Pangasianodon hypophthalmus (Sauvage, 1878) in the Mekong Delta, Vietnam

Skeletal deformities are a common issue that poses a challenge that hinders the production of cultured finfish worldwide. The present study aims to describe for the first time skeletal deformities in cultured striped catfish Pangasianodon hypophthalmus (Sauvage, 1878) from the Mekong Delta, Vietnam. A total of 68 striped catfish were collected from three nurseries in highly concentrated areas of Long An and Dong Thap provinces. These provinces are known for their numerous hatcheries and nursing farms of P. hypophthalmus in the country. The skeletal deformities recorded included saddleback syndrome, missing pectoral fins, lordosis and kyphosis, unilateral deformities of the opercular complex bones, branchiostegal ray and lower jaw deformities. Abnormalities in bone morphotypes between normal and deformed fish were analysed using X-ray scanning and double staining (alizarin red and alcian blue) methods. The morphological abnormalities, in general, can reduce the fillet yield of fish, thereby affecting their market value. Since P. hypophthalmus is the most important freshwater fish exported from the Mekong Delta, a regular monitoring program of skeletal deformities can contribute to identifying improved rearing protocols and enhance the product quality available in the markets.

EVALUATING OUTCOME OF SHORT-TERM TREATMENT FOR IDIOPATHIC CLUBFOOT WITH PONSETI METHOD

Introduction -clubfoot (CTEV) is One of the most common structural and visible birth defects and is responsible, for major Disability in children. Diagnosis of clubfoot is generally clinical since the deformity is obvious at birth. Aim of our study to evaluate pattern of presentation and short-term treatment outcome of ctev with the Ponseti method. retrospective cohort study on children presenting with CTEV in depart Material And Methods- ment of orthopaedics, N.S.C.B. Medical College & hospital, Jabalpur (M.P.). Number of patients was based on those attending the clubfoot clinic from 1st January 2019 to 31st Dec 2020. Patients with underlying neuromuscular conditions and deformities related to trauma, tumour and infection were excluded from the study. There were 50 children wi Results- th 75 clubfeet treated in our institution during the study period. There were more boys (32) compared to girls (18), with a ratio of 1.7:1, with 25(50%) bilateral deformities, and 25 (50%) unilateral deformities. The mean age of patients at presentation was 7.7 months. The mean number of cast change for all the feet was 5.2 ranging from 3 to 8 changes. The mean duration of casting was 2.7 months (range: 1 – 6 months). Of the 50 patients, 23 (46%) required percutaneous Achilles tenotomy. With 70 of the 75 feet responding to treatment, our initial success rate was 93.3%. The mean period of follow up was 14.1months, ranging from four to 30 months. Conclusion- With the initial success rate of 93.3%, our study showed that the Ponseti method of treatment was effective in the treatment of CTEV even for those who presented late

The evaluation of vascular flow in clubfoot: a resistive index and peak systolic velocity study.

Resistive index (RI) and peak systolic velocity (PSV) are important Color doppler ultrasonography (CDU) parameters indicating the microcirculation and flow velocity in tissues. We aim to determine the changes in vascular flow characteristics in clubfoot after Ponseti treatment. There were three groups: the clubfoot group, the healthy group (the unaffected feet with unilateral deformities) and the control group. The Pirani severity scoring and CDU examinations of the foot were performed at initial admission and the 6th-month follow-up after Ponseti treatment. A total of 34 feet of 24 patients were included in the study. The mean age at initial treatment was 20.9 ± 22.5 days. The RI and PSV values of the clubfeet and the healthy group were similar. Resistive index values were significantly lower, and PSV values were significantly higher in the control group. After Ponseti treatment, only RI of the dorsalis pedis artery decreased, but PSV increased for all of the arteries. Recurrence of the deformity deteriorates the improvement in vascular development. Resistive index and PSV values were not related to the initial severity of the deformity. The RI values were higher, and PSV values were lower in clubfoot patients compared with the normal control group. Vascular pathology is a component of clubfoot, and treatment success improves vascular development. The improvement of microcirculation and blood flow velocity together was detected only in the dorsalis pedis artery. The effect of vascular flow change on prognosis was not detected.

A Novel Otoplasty Technique Using Dermabrader on Prominent Ear Deformity Patients: A Retrospective Study and a Description of Technique.

An analysis of retrospective medical records was conducted by the senior author on patients with prominent ears treated with our novel dermabrasion technique between 2018 and 2021. The demographics, clinical assessment, and outcomes of the patients were assessed. Furthermore, the article provides a detailed description of the technique. A total of 18 ears were operated on. Eight of the included patients had bilateral ear deformities, and two had unilateral deformities. The mean distance from the ear to the head at the superior helix was 29 mm (range, 25-35 mm). In our series, no complications were observed. During the most recent clinical evaluation, all patients had achieved acceptable ear positioning and excellent aesthetic results. Dermabrasion is a useful technique for otoplasty because no sutures are required and symmetry can be achieved in bilateral ears. Furthermore, this technology is safe, simple, reproducible, reliable, and versatile. We recommend that future studies be conducted in a prospective manner with larger sample sizes and longer follow-up periods to ensure the validity of the findings.

A rare case of unilateral anterior segment dysgenesis and limb deformity in a neonate

A rare case of unilateral anterior segment dysgenesis and limb deformity in a neonate

Efficacy of endoscopic repair for CSF otorrhoea in children with recurrent meningitis due to incomplete partition type 1

ObjectiveTo review the efficacy of endoscopic management with or without cochlear implantation in a pediatric population presenting with recurrent meningitis due to inner ear incomplete partition type 1 (IP-1). Materials and methodsA multicentric report of 6 patients with a history of recurrent meningitis due to IP-1 was done. Radiological evaluation was performed to confirm the diagnosis. Transcanal endoscopic repair of the defect was performed in 3 cases, 2 cases underwent endoscope-assisted repair followed by cochlear implantation in the contralateral ear later, and 1 patient underwent endoscopic repair along with simultaneous cochlear implantation. ResultsRadiology confirmed the diagnosis and identified the site of the leak. A leak was detected in all cases from the stapes footplate. Two patients with unilateral deformity had a CSF-filled cyst protruding through a defect in the stapes footplate, and the rest of the four had a high flow CSF leak from the footplate. Five patients who underwent repair have had no further episodes of meningitis. One patient who received simultaneous implantation and repair developed postoperative meningitis managed successfully with antibiotics. ConclusionHearing loss due to inner ear deformity can be easily missed as a cause for recurrent meningitis, especially if unilateral. A high index of suspicion, audiological screening and radiology are essential to clinch the diagnosis. In such cases, a pure endoscopic or endoscopic assisted transcanal approach to repair CSF otorrhoea is an effective alternative to more radical procedures like subtotal petrosectomy with obliteration. In patients with bilateral profound hearing loss, simultaneous cochlear implantation and repair of the defect can be performed successfully.

Assessment of early Achilles tenotomy in the newborn idiopathic pes equinovarus.

We aimed to evaluate the clinical and radiological results of early Achilles tenotomy which was performed before Ponseti method in PEV deformities. 37 feet of 26 patients with Dimeglio type 3 and 4 deformities were included in the study. Unlike the classical Ponseti method, patients underwent a mini-open Achilles tenotomy before the first cast. 6-month follow-up of the foot deformities were assessed using Dimeglio classification clinically and lateral talocalcaneal and tibiocalcaneal angles radiologically. There were 20 male and 6 female patients with the median age of 14 days (4-37 days) and 11 bilateral and 15 unilateral deformities. The average follow-up period was 7 months (6-12 months). The mean Dimeglio scores before the Achilles tenotomy and Dimeglio score at the 6 th month follow-up were 14 (11-16) and 4 (4-6) for the right feet, 13 (10-16) and 4 (4-6) for the left feet respectively. The mean number of casting was 3.8 ± 0.4 for right feet and 3.7 ± 0.4 for left feet. The mean talocalcaneal angle was 24 ± 8.2 degrees for the right feet and 27 ± 8.2 degrees for the left feet. The mean tibiocalcaneal angle was 69 ± 12 for the right feet and 72 ± 14 degrees for the left feet. Early Achilles tenotomy can decrease the total number of cast for deformity correction in Ponseti method and provide good clinical and radiological outcomes at 6 th month follow-up in severe PEV deformities according to Dimeglio classification.

Additional ultrasound capabilities for local haemodynamically significant carotid deformity: a one-stage observational study

Background. Despite a wide range of studies, no consensus has been reached on the relative weight of ultrasound parameters for assessing local haemodynamically significant carotid deformations.Objectives. To estimate a diagnostic value for an additional multiparametric ultrasound parameter for local haemodynamically significant carotid deformations.Methods. In the first phase, 388 patients underwent an outpatient multiparametric ultrasound examination of the carotid arteries. The study involved patients of the age of 18 and older with a primary referral for carotid ultrasound by a resident physician, neurologist or cardiologist in order to rule out a carotid pathology. As a supplement to the main haemodynamic significance assessment parameters, we introduced an additional metric — the deformity coefficient – in order to diagnose carotid abnormalities. Based on the first phase results, two cohorts were selected. Cohort 1 (control) consisted of patients with no abnormalities in multiparametric carotid ultrasound. Cohort 2 consisted of patients with isolated unilateral internal carotid artery deformities at no haemodynamically significant stenosis of common and internal carotid arteries in multiparametric carotid ultrasound. In the second phase, the patients underwent transcranial duplex sonography of the middle cerebral arteries, in order to detect regional haemodynamically significant internal carotid artery deformities.Results. Mathematical modelling of abnormal arteries produced the empirical upper deformity coefficient thresholds to distinguish acute angulation. This value is >1.41 for C-shaped and >1.34 — for S-shaped curves.Subsequent statistical analysis revealed a clear positive correlation between angulation and the deformity coefficient at a p < 0.01 significance level. More acute angulation corresponds to higher coefficient values.The Spearman correlation between the deformity coefficient and blood flow asymmetry values for middle cerebral artery was 0.89. This defines a significant positive correlation (higher deformity coefficient corresponds to higher blood flow asymmetry) at a p < 0.01 significance level.Conclusion. The deformity coefficient is an additional ultrasound parameter for assessing local haemodynamically significant carotid abnormalities.

APPLICATION OF VIBRATION EFFECTS IN BIOFUEL PRODUCTION

The considered effective way of processing by-products of biofuel production. The increase in the productivity of the technological line is achieved through the introduction of new vibration equipment for the primary purification of raw glycerin. This study proposes a new approach to determine the efficient operation of a new machine, which is useful for the purification of glycerol based on the combinatorial process of centrifugation and vibration separation. The mathematical mechanical-rheological evaluations are developed based on the experimental results. Has been proposed to evaluate the rheological characteristics of raw glycerin purification based on the experimental testing. A compression device has been used to determine the value of the unilateral deformation of this material, which allows simulating a condition of a material at various technological modes of processing. In this study, the changes of material properties under centrifugation and vibration separation processes in a vibrocentric machine have been investigated. At a choice of optimum technological parameters of processing of food masses by means of vibration methods of rheology are widely applied. In particular, the interaction of the working body of the machine with the treated environment. In order to find the optimal parameters of the technological regime, the process was considered comprehensively from the standpoint of mechanics and rheology. The methods of mechanics describe the interaction of the working body with the treated environment as a mechanical object; rheology, in turn, allows you to reveal the internal processes in the environment. The system under study can be attributed to the elastic-viscous medium, which is described by a phenomenological model consisting of interconnected elastic and viscous elements.

Effect of vibration on the rheological properties of glycerin during its purification

In this paper, a new method using the experimental results is proposed to determine the rheological characteristics of glycerin purification by a vibrocentric machine. The experimental testings are reported based on the values of the unilateral deformation of the glycerin under different process modes. The Kelvin-Voight model is used for rheological modeling of the proposed vibrocentric purification of glycerin. A new compression device is presented for the experimental studies, which is useful to simulate different technological processing mods. The behavior of glycerin during the centrifugation and vibrationally separation could be simulated using the introduced compression device. Test results show that a 15 % increase in the deformation of the glycerin is achievable using the simultaneous vibration-based and centrifugation processes. The impacts of amplitude-frequency parameters of glycerin purification using the vibrocentric process on the stress, strain, and strain rate have been studies. The obtained test results illustrate that the specified rheological characteristics increase sharply due to the resonant mode of the vibrating machine’s operation.

Онтологія варіантів будови та вад розвитку черепа. Частина I

Annually severe congenital abnormalities occur in 1 of 33 newborns or about 125.000 live births in the United States and are the leading cause of infant mortality. Craniofacial anomalies account for about one-third of all abnormalities. The prevalence of human congenital malformations is an important characteristic of public health. According to the World Health Organization, the birth rate of children with cleft lip and palate is on average 1:750 newborns, which is 20-30% of all human malformations and 86% of maxillofacial malformations. They contribute significantly to infant morbidity and disability as well as millions of dollars in health care costs each year. Development of the human skull begins about 23-26 days after fertilization, when a multipotent population of cranial neural crest cells migrates from the dorsal part of the neuraxis to the embryonic head region, giving rise to the frontal bone and interparietal part of the occipital bone, while the rest of the cranial arch comes mainly from the mesoderm. A malformation is a deviation from the normal development of an organ or tissue. Among the causes are chromosomal abnormalities, single gene defects, teratogenic or multi-factor agents, that is, a combination of genetic and external factors; the smallest number of cases are idiopathic. Exogenous causes of human congenital abnormalities include: physical (mechanical, thermal, radiation); chemical (hypoxia, malnutrition, hormonal discordance, teratogenic poisons); biological (viruses, bacteria and their toxins, protozoa); mental factors. Endogenous causes are heredity (changes in hereditary structures, mutations); biological inadequacy of germ cells (endocrine disorders, “over-ripening” of germ cells); parents’ age. Congenital craniofacial abnormalities are caused by improper growth and/or development of the brain and facial parts of the skull and soft tissue. Craniofacial abnormalities affecting the skull include macrocephaly, microcephaly and unilateral deformities. Sometimes cranial sutures fuse too early and craniosynostosis occurs, which is accompanied by various cranial deformities. This leads to abnormal cranial development, which can cause dysmorphia, and in the most severe cases catastrophically affect brain development. Conclusion. Based on the analysis of the literature sources, an attempt has been made to summarize the existing information and classifications of congenital cranial abnormalities, as well as the interpretation of various anomalies of the brain and facial skull in alphabetic order. The most common stigmas and malformations of the skull bones are briefly characterized

Supracondylar femoral dome extension osteotomy in treatment of knee flexion deformity

Background Flexion contracture of the knee can happen by different etiologies such as burns and scars, inflammatory conditions such as juvenile rheumatoid arthritis, and neuromuscular disorders such as cerebral palsy, poliomyelitis, and many others. Supracondylar femoral extension osteotomy is widely used in treatment of such type of deformities with good results. Dome osteotomy is a circular-shaped osteotomy. The authors conducted this study to assess the effectiveness of supracondylar femoral dome extension osteotomy (SCDEO) in management of sagital plane deformity in the form of fixed-flexion deformity of the knee. Patients and methods Seven patients (11 knees) with knee flexion deformity underwent SCDEO fixed by anatomical locked plate and screws, three patients had a bilateral deformity as sequelae of juvenile rheumatoid arthritis, while four patients as sequelae of poliomyelitis, and three of them had unilateral deformity, while only one patient had bilateral deformity. The knee flexion deformity angle ranged from 20 to 50° with a mean of 32°. Patients were followed up every 2 weeks with monthly radiographies done till full union of the osteotomy, full weight bearing was started at 4 weeks postoperatively, in bilateral cases, the other side was operated after full osteotomy union, and all patients were followed up for 12 months with radiographies to assess the knee flexion deformity angle. Results All osteotomies eventually united in the period ranging from 10 to 14 weeks (average 12 weeks), no postoperative infection, nonunion, neurological, or vascular compromise occurred. All of the patients were satisfied regarding improved gait and posture, the total range of knee motion at 12 months postoperatively ranged from 60 to 100° (average 85°). Knee flexion deformity angle measured at 12 months postoperatively ranged from 8 to 15° with an average of 11°. Only one patient with juvenile rheumatoid arthritis showed significant recurrence of the deformity at 12 months of follow-up postoperatively, with flexion deformity angles of 20 and 25° in the right and left knee, respectively, whereas the preoperative flexion deformity angle in this patient was 30 and 35° in the right and left knee, respectively. Conclusion SCDEO fixed by anatomical locked plate and screws is an effective means of management of knee fixed-flexion deformity.

Bilateral Inflammatory Verrucous Epidermal Nevus in Association with Unilateral Lobster Claw Hand Deformity: An Unusual Association.

Bilateral Inflammatory Verrucous Epidermal Nevus in Association with Unilateral Lobster Claw Hand Deformity: An Unusual Association.

Surgical management of idiopathic congenital talipes equinovarus by Carroll twin incision

<p><strong>Background:</strong> Surgery for congenital idiopathic clubfoot has a number of complications in the postoperative period such as delayed wound healing, gaping, infection, and recurrence of the deformity. The aim of this study is to evaluate the results of primary correction of clubfoot by modified Carroll’s double incision technique.</p><p><strong>Methods:</strong> It is a prospective interventional for a period of 2 years 5 months. 56 foot of which 21 pts have bilateral deformity and 14 pts with unilateral deformity. Patients of 3 months to 2 years age with idiopathic clubfoot, who did not respond to initial Ponseti casting; and were planned for Carroll double incision technique of surgery were included in this study.</p><p><strong>Results</strong>: In total 56 foot of which male are 23 and female children are 12 in number with male: female ratio of 1.9:1, showing male predominance, 21 pts have bilateral deformity and 14 pts with unilateral deformities. The mean change in radiographic parameters achieved by correction is as postoperative mean talocalcaneal index achieved was 42.6<sup>0</sup> (Normal range >40°). The postoperative mean anteroposterior talo-calcaneal angle was 26.2<sup>0</sup> (Normal range 30<sup>0</sup> to 55<sup>0</sup>). The Postoperative mean lateral talo-calcaneal angle was 24.4<sup>0</sup> (normal 20<sup>0</sup> to 40<sup>0</sup>). Final outcome is 81% is good, 14 fair and 5% has poor outcome.</p><p><strong>Conclusion</strong>: Exposure and release by Carroll’s twin incision is good, no tension in sutures, especially medical incision at the time of wound closure.</p>

Assessment of severity of clubfoot in walking children by combined multiple tools: A new classification system

IntroductionClubfoot is one of the most common congenital deformities that cause mobility impairment. In developing countries, however, due to lack of appropriate medical care, treatment is either not initiated or incompletely performed. Due to lack of consensus for evaluation of deformities in such patients, there is no standardized treatment protocol yet developed. So, a new evaluation system is devised to assess the deformity in untreated or previously managed conservatively clubfoot of walking children. MethodsIt was a prospective, observational study, conducted from December 2017 to July 2019. Patients from age 1–5 years, with unilateral deformity and previously managed conservatively were included. Patients having atypical clubfoot, syndromic clubfoot, or previously surgically intervened were excluded. Pre-treatment severity was graded with Diméglio score. Anthropometric, Foot Imprinting, Radiographic angles, and Ultrasonographic measurements were taken. Parameters taken were assessed and correlated with gradings of Diméglio score. Results37 patients with mean age of 2.14 ± 0.87 years were included. Diméglio score was 11.57 ± 2.15 with 28 patients in ‘severe’ category. Talocalcaneal index and Tibiocalcaneal angle were correlating with the equinus whereas Bean shape ratio and Talocalcaneal index were correlating with varus deformity. Derotation of calcaneoforefoot block gradings correlating with Foot bimalleolar angle, Talo-first metatarsal angle, and MMN (medial malleolus to navicular distance) Ratio. FBM (Foot Bimalleolar) Angle, Talo-first metatarsal angle, MMN Ratio, and Medial soft tissue thickness were correlating with forefoot adduction. Following the correlation, a new classification system was devised to assess the severity of deformity at presentation. ConclusionIt is essential to develop an objective methodology to evaluate the severity of the clubfoot; whether the foot is responding to manipulation and casting; to detect the early signs of recurrences and predict the outcomes. The evaluation system should take into consideration the complex characteristics of the deformity and its three-dimensional aspects.

Surgical outcome with single stage procedure for neglected congenital talipes equinovarus

<p class="abstract"><strong>Background:</strong> Congenital talipes equinovarus is one of the commonest congenital anomalies. In developing countries like India especially in the rural population still there are many myths, culture and awareness issues regarding this deformity. Many patients get initial treatment with casting but tend loose follow ups in this prolonged treatment. To give optimal results in these scenarios, the technique for single stage procedure which includes bony and soft tissue repair gives excellent results.</p><p class="abstract"><strong>Methods:</strong> In a retrospective longitudinal study, 13 children with neglected clubfeet were involved. Valid consent, clinical and radiological evaluation was done. Patients underwent single stage (bony and soft tissue) procedure described in the study. Post operatively data was collected and scoring was done as per International clubfoot study group (ICSG) at each follow ups.<strong></strong></p><p class="abstract"><strong>Results:</strong> A total 13 children out of whom 9 were male and 4 females, all having unilateral deformity were studied. The age group was between 5-22 years (mean 13.5). Postoperatively, the children were followed at 6 months intervals. As per ICSG score 10 patients had excellent results, 3 patients had good results and none had poor results. 2 patients had minor complication - delayed wound healing (2-3 weeks).</p><p class="abstract"><strong>Conclusions:</strong> Treatment of neglected clubfoot using single stage procedure dorsal close wedge osteotomy with soft tissue release has a high rate of good and excellent results, with low frequency of complications. It is a good alternative to conventional procedures for management of neglected clubfeet in developing countries, where compliance of patient is a problem.</p>

Variation in the size of foot and great toe in unilateral CTEV (club foot deformity)

Variation in the size of foot and great toe in unilateral CTEV (club foot deformity) - IJCAP- Print ISSN No: - 2394-2118 Online ISSN No:- 2394-2126 Article DOI No:- 10.18231/j.ijcap.2019.066, Indian Journal of Clinical Anatomy and Physiology-Indian J Clin Anat Physiol

One-stage Surgical Treatment of Simultaneous Osteotomy and Asymmetric Lengthening on Short Femur with Severe Deformity of Genu Valgus

This study aimed to discuss the effects of one stage surgical treatment by simultaneous osteotomy and asymmetric lengthening by Ilizarov external fixator on short femur with severe deformity of genu valgus. A total of 12 cases with unilateral deformities treated by simultaneous osteotomy and Ilizarov asymmetric lengthening on short femur with severe deformity of genu valgus were retrospectively analyzed from January 2006 to April 2015. The affected limbs were 2.5–11 cm (5.2 cm on average) short, the femorotibial angle was 135°–158° (146.3° on average), and the ankle interval was 15–43 cm (24.7 cm on average). The Paley method was used to determine the osteotomy plane (distal femur) of genu valgus. According to this standard, the bone union results were as follows: 11 had excellent and 1 had good, where 7 patients had excellent and 5 had good functional outcomes. One stage surgical treatment by simultaneous osteotomy and asymmetric lengthening on short femur with severe deformity of genu valgus was considered to be an effective and reliable method with better osteotomy union, less trauma and fewer complications.