leg lengthening

Fibula hemimelia

Deficiency of bony elements on lateral side of lower limb

- characterised by hypoplastic or aplastic fibula

Terminal

- abnormal foot

Intercalary

- normal foot

Most common congenital deformity of long bones

- M:F 2:1

1. Equal leg lengths

- goal is mild to moderate isolated discrepancy

2. Unequal leg lengths

- goal with paralysis / equinus foot

- aim 1-2 cm short for clearance

3. Level Pelvis

- should use blocks to estimate functional correction

4. Vertical LS Spine

- vertical spine more important than level pelvis