Congenital fibular deficiency

Reggie C. Hamdy, Asim M. Makhdom, Neil Saran, John Birch

Research output: Contribution to journalArticle

13 Citations (Scopus)

Abstract

Congenital fibular deficiency (CFD) is characterized by a wide spectrum of manifestations ranging from mild limb length inequality (LLI) to severe shortening, with foot and ankle deformities and associated anomalies. The etiology of CFD remains unclear. Treatment goals are to achieve normal weight bearing, a functional plantigrade foot, and equal limb length. The recent Birch classification system has been proposed to provide a treatment guide: the functionality of the foot, LLI, and associated anomalies should be taken into account for decision-making. Treatment options include orthosis or epiphysiodesis, Syme or Boyd amputation and prosthetic rehabilitation, limb lengthening procedures, and foot and ankle reconstruction. The outcome of amputation for severe forms of CFD has shown favorable results and fewer complications compared with those of limb lengthening. Nevertheless, advances in the limb lengthening techniques may change our approach to treating patients with CFD and might extend the indications for reconstructive procedures to the treatment of severe LLI and foot deformities.

Original languageEnglish (US)
Pages (from-to)246-255
Number of pages10
JournalJournal of the American Academy of Orthopaedic Surgeons
Volume22
Issue number4
DOIs
StatePublished - 2014

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Extremities
Foot Deformities
Foot
Amputation
Ankle
Orthotic Devices
Betula
Weight-Bearing
Therapeutics
Decision Making
Rehabilitation

ASJC Scopus subject areas

  • Surgery
  • Orthopedics and Sports Medicine

Cite this

Congenital fibular deficiency. / Hamdy, Reggie C.; Makhdom, Asim M.; Saran, Neil; Birch, John.

In: Journal of the American Academy of Orthopaedic Surgeons, Vol. 22, No. 4, 2014, p. 246-255.

Research output: Contribution to journalArticle

Hamdy, RC, Makhdom, AM, Saran, N & Birch, J 2014, 'Congenital fibular deficiency', Journal of the American Academy of Orthopaedic Surgeons, vol. 22, no. 4, pp. 246-255. https://doi.org/10.5435/JAAOS-22-04-246
Hamdy, Reggie C. ; Makhdom, Asim M. ; Saran, Neil ; Birch, John. / Congenital fibular deficiency. In: Journal of the American Academy of Orthopaedic Surgeons. 2014 ; Vol. 22, No. 4. pp. 246-255.
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