Limb shortening osteotomy in a patient with achondroplasia and leg length difference after total hip arthroplasty.

J Orthop Case Rep 2013 Jul-Sep;3(3):30-3

Department of Orthopaedic Surgery and Traumatology Kantonsspital Bruderholz CH-4101 Bruderholz/BL, Switzerland.

Introduction: Achondroplasia is the most common reason for disproportionate short stature. Normally, orthopedic limb lengthening procedures must be discussed in the course of this genetic disorder and have been successful in numerous achondroplastic patients in the past. In some cases, the disease may lead to leg length differences with need for surgical correction.

Case Report: We report a case of achondroplastic dysplastic coxarthrosis with symptomatic leg length difference after bilateral total hip arthroplasty in a 52-year-old female patient, in which a distal femoral shortening osteotomy was successfully performed.

Conclusion: Femoral shortening osteotomy is very uncommon in patients with achondroplasia. We conclude, however, that in rare cases it can be indicated and provide the advantage of shorter operation time, less perioperative complications and faster recovery compared to leg lengthening procedures.

Download full-text PDF

Source
http://dx.doi.org/10.13107/jocr.2250-0685.112DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4719253PMC
June 2016

Publication Analysis

Top Keywords

leg length
12
shortening osteotomy
12
lengthening procedures
8
total hip
8
length difference
8
femoral shortening
8
hip arthroplasty
8
differences surgical
4
advantage shorter
4
report case
4
case achondroplastic
4
report report
4
correctioncase report
4
surgical correctioncase
4
length differences
4
shorter operation
4
numerous achondroplastic
4
achondroplasia conclude
4
operation time
4
disorder successful
4

Similar Publications