Femoral Lengthening in Children with Congenital Femoral Deficiency: A Systematic Review.

Autor:	Sabry AO; Department of Orthopaedic Surgery, Kasr Al-Ainy School of Medicine, Cairo University, Cairo, Egypt., Galal S; Department of Orthopaedic Surgery, Kasr Al-Ainy School of Medicine, Cairo University, Cairo, Egypt.; Limb Lengthening and Complex Reconstruction Service, Ministry of Health, Muscat, Oman., Menshawey R; Kasr Al-Ainy School of Medicine, Cairo University, Cairo, Egypt., Menshawey E; Kasr Al-Ainy School of Medicine, Cairo University, Cairo, Egypt., Hegazy M; Kasr Al-Ainy School of Medicine, Cairo University, Cairo, Egypt., Farahat M; Kasr Al-Ainy School of Medicine, Cairo University, Cairo, Egypt., Nasr N; Kasr Al-Ainy School of Medicine, Cairo University, Cairo, Egypt., Boutros Y; Kasr Al-Ainy School of Medicine, Cairo University, Cairo, Egypt., Zakaria Y; Kasr Al-Ainy School of Medicine, Cairo University, Cairo, Egypt., El Barbary H; Department of Orthopaedic Surgery, Kasr Al-Ainy School of Medicine, Cairo University, Cairo, Egypt., Hegazy M; Department of Orthopaedic Surgery, Kasr Al-Ainy School of Medicine, Cairo University, Cairo, Egypt.
Jazyk:	angličtina
Zdroj:	JBJS reviews [JBJS Rev] 2024 Aug 22; Vol. 12 (8). Date of Electronic Publication: 2024 Aug 22 (Print Publication: 2024).
DOI:	e24.00088
Abstrakt:	Background: Congenital femoral deficiency (CFD) presents a significant challenge in pediatric orthopaedics, characterized by a spectrum of congenital anomalies ranging from mild femoral shortening to complete absence of the proximal femur and hip joint. This review aims at reviewing the latest concepts of femoral limb lengthening modalities in treating CFD, to explore the efficacy, complications, and long-term outcomes of various surgical techniques. Methods: A comprehensive search of the literature was performed for clinical studies involving lengthening in patients with proximal focal femoral deficiency (PFFD) in several databases. Results: We analyze the evolution of limb lengthening procedures, from the Wagner and Ilizarov methods to the latest advancements in distraction osteogenesis, and assess their role in addressing the functional needs of patients. We also analyze the possible risk factors for the occurrence of complications with each method and alternatives to avoid them. Conclusion: The review highlights the importance of individualized treatment plans, considering factors such as the degree of femoral deficiency and the potential for achieving a functional limb length; however, it requires a multidisciplinary approach and careful preoperative planning to optimize patient outcomes. The review underlines the need for ongoing research to refine surgical techniques and to compare them and improve the quality of life for individuals with PFFD. Level of Evidence: Level III. See Instructions for Authors for a complete description of levels of evidence. Competing Interests: Disclosure: The Disclosure of Potential Conflicts of Interest forms are provided with the online version of the article (http://links.lww.com/JBJSREV/B139). (Copyright © 2024 by The Journal of Bone and Joint Surgery, Incorporated.)
Databáze:	MEDLINE
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