Limb Lengthening and Reconstruction Center

  • Conditions Treated

    We use a variety of techniques to correct limb problems, many not involving surgery. If surgery is needed, we often use minimally invasive techniques.

    Our procedures include:

    • Limb lengthening: External fixator and intramedullary rod techniques
    • Limb deformity correction: Growth modulation and osteotomies
    • Growth plate manipulation: Guided growth techniques
    • Prosthetic conversion
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    Congenital (Birth Defects)

    • Congenital shortening of an extremity  
    • Streeter’s dysplasia (amniotic constriction bands /amniotic band syndrome)  
    • Below elbow transverse limb deficiency  
    • Tibial hemimelia   
    • Fibular hemimelia:

      One of the most common deficiencies of the long bones in children. Fibular hemimelia results in a foot that may have a decreased number of toes, a short limb, and a short or absent fibula. Other related issues and deficiencies can occur in the knee and even the hip. Femoral hemimelia rarely affects the remainder of the child and he or she is typically healthy and quite active. Standard treatment can include a reconstructive amputation which provides a highly functional outcome but requires prosthesis. Newer techniques allow for reconstructing the lower limb with similar function.

    • Proximal femoral focal deficiency (short femur):

      Also referred to as congenital femoral deficiency, this is an uncommon limb deficiency of the femur bone resulting in a short leg and also changes around the hip and knee. Treatment options can include complex limb and joint reconstruction techniques. Typically the treatment begins at an early age and continues throughout childhood. Treatment requires a comprehensive approach and a long-term plan.

    After Trauma / Injury

    • Lawnmower injuries
    • Traumatic amputations
    • Growth arrests or disturbances of an extremity due to injury or infection involving the growth plate

    Developmental

    • Blount’s disease (severe bow-legs)
    • Arthritic conditions resulting in limb length inequality, deformity or joint stiffness
    • Congenital genu valgum (pathologic knock-knees)
    • Pseudarthrosis of the tibia

    Oncologic

    • Malignancy or tumorous conditions affecting growth and development of an extremity including leg length inequality and limb deformities associated with vascular malformations and neurofibromatosis.