The Child With A Limb Deficiency

Experts in the field of orthopaedic surgery, physical therapy, child psychology, and prosthetics and orthotics discuss the aetiology, diagnosis and treatment of genetic and traumatic limb deficiencies in children. Topics covered in the book include: classification and treatment of congenital femoral deficiency, including Syme's amputation, rotationplasty, and limb lengthening; classification and treatment of fibular deficiency, tibial deficiency, epidemiology, prevention, and treatment of acquired amputations; prosthetic management; management of upper extremity deficiencies and of multiple amputations; and outcomes measures.

Edited by the respected pediatric orthopaedic surgeon Ali Kalamchi, M.D. with contributions from other experts in the field, Congenital Lower Limb Deficiencies is a single source reference guide for rare complex congenital defects of the lower limb. The text is divided into three sections. The first section discusses normal limb development; the genetic, familial, and historical nature of lower limb defects; and the evaluation and categorization of such defects in pediatric patients. The second section characterizes and classifies the congenital defects and covers early long-term planning of patient management based on clinical and radiographic findings. The third section analyzes the treatment modalities, including several chapters on the relationship of sports therapy to the treatment plan. In addition, the authors contribute their wealth of expertise by sharing their experiences and preferences in the treatment of congenital lower limb defects. The team approach for geneticists, pediatricians, orthopedists, therapists, prosthetists and other health care professsionals involved in each case is emphasized.

Comprehensive and generously illustrated, this text highlights both general principles and specific strategies for managing the spectrum of pediatric lower limb deformities. It is divided thematically into five sections, though any chapter can stand on its own to guide the clinician in specific situations. Part I covers general principles and techniques, including etiology, clinical evaluation, imaging as well as different surgical methods. Part II, covering related concepts and management options, discusses soft tissue contractures, amputations and working in austere and resource-challenged settings. Underlying conditions comprise part III – specific metabolic, neuromuscular and tumor-related conditions, along with arthrogryposis, Osteogenesis Imperfecta and various skeletal dysplasias. Part IV presents congenital and developmental disorders, such as congenital femoral deficiency, hemimelias, tibial pseudoarthrosis and Blount disease, while part V rounds out the book with chapters on sequelae related to different etiologies and their treatment. Covering all aspects of the management of pediatric lower limb deformities and written by renowned experts in the field, this textbook will be an invaluable resource for orthopedic surgeons and trainees worldwide.

A guide to caring for children with congenital limb deficiencies, for the general orthopaedic resident. It examines congenital deficiencies and their associated disorders; what to say to the family; what to note on the chart; and what to look for when examining a prosthesis.