Fémur Corto Congénito

Deficiencia femoral focal proximal

Aplasia proximal del fémur

Radiografia de neonato con Femur Corto Congénito

Este es un espacio para que padres y profesionales podamos compartir información sobre la patología del Fémur Corto Congénito

Laura’s history

During the scan of the second trimester of pregnancy a doctor at the Arnau Hospital (Lleida) detected a dysmetria in her left femur. This was further confirmed by another scan at the Val D’Hebron Hospital (Barcelona). As parents we wanted to know how it was going to develop. A traumatologist spoke to us of a process called “lengthening”.
In May 2003 Laura was born. She was diagnosed of a congenital short femur and hypoplastic of the left fibula.
Around her first birthday she began to move with her feet, first with only one, since the other couldn’t reach the ground. To support her left foot the traumatologist proposed a 9 centimetre-raised insole (3,54 inches). This didn’t work.
At any rate, as she got stronger, she had a “femoral inside-skeleton prothesis” with a socket supporting the sacral bone, with which she learned to walk.

 

We thereafter changed to the San Juan de Dios Hospital (Barcelona) where we were given a more global vision which increased the impossibility that the lengthening wouldn’t be viable. We were advised not to overprotect our child and to help her to be more independent and live more normally. With her prothesis Laura could play any swing and move freely.
At the age of 2, the pseudo-arthrosis focus was cut by medical treatment (surgery) and a retrograde endomedullar fixation placed to correct the coxa-vara. She gained stability of the head of the femur into the hip bone.
Laura spent 9 weeks in a plaster which went from her waist to her left ankle. Three weeks after they removed the plaster, and Laura could walk again with a new orthoprothesis, this time without sacral support (shoe lift). It didn’t not disturb her in any way.

 

Although Laura grew normally she kept the dysmetria which she had had since before her birth, having the left femur less than the right. Now she is 3, she is 104 centimetres tall (40,94 inches) and has a shortening of the left leg of 13 centimetres (5,12 inches). In the Central Hospital of Asturias (northern Spain) they considered the possibility of lengthening while at the St Juan Hospital (Barcelona) they recommended amputation and use of a prothesis. We have read in many forums that this technique often fails if the difference between the femurs is so great. The alternative treatment is the amputation of the foot to adapt a prothesis with articulation of the knee and ankle.

We are looking for more information and experiences to help us choose the best treatment for Laura. For this reason we would be grateful if you could enter Laura’s case details into your web-site forum.
The same site is available in Spanish www.femurcorto.com which people with similar cases and a Spanish speaking specialist can consult. Thank you.

 

Vocabulary:


Aplasia Failure of an organ or tissue to develop normally.
Coxa vara is a deformity produced when the angle made by the head of the femur with the shaft is decreased below 120°. In coxa vara it may be 80° to 90°. Coxa vara may occur in rickets, bone injury, or congenitally.
Dysplasia Abnormal development of tissue.
Femur. The thigh bone. It extends from the hip to the knee and is the longest and strongest bone in the skeleton.
Hip joint.  A stable ball-and-socket joint in which the head of the femur fits into the acetabulum of the hip bone.
Inch: 1 inch = 2,54 centimetres
1 foot = 12 inches or 30,48 centimetres
Leg:  In common usage, the entire lower limb, or from hip to ankle;
Badger leg:  Inequality in the length of the legs.

 

 

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