Fibular Hemimelia/Congenital Short Femur/LLE Deformity

Congenital limb deficiency is a rare clinical entity with well-recognized orthopedic manifestations. The most common of these lower limb deficiencies is fibular hemimelia. These deficiencies cover a wide spectrum, ranging from mild to moderate hypoplasia, to severe aplasia or complete absence of the involved bone. Children will present with varying degrees of limb length discrepancy with abnormalities at both the hip and knee, as well as associated defects of the tibia and foot. Management of these conditions focuses on the length and alignment of the involved limb, and stability of the joints in order to create or restore a functional limb that allows the child weight bearing and ambulation.