ArticleProsthetics and orthotics international2024
Management of severe congenital femoral deficiency: Does surgical intervention enhance prosthetic function?
Article in Prosthetics and orthotics international, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.
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Who cites it
4 citing papers in PubMed, 4 citations in OpenAlex.
- Challenges in Reconstruction and Limb Lengthening Surgery for Congenital Lower Limb Deficiencies.Journal of clinical medicine · 2026Review
- Atypical Bilateral Proximal Femoral Focal Deficiency: A Case Report and Review of Literature.Case reports in pediatrics · 2026Article
- The Significance and Limitations of Pre- and Postnatal Imaging in the Diagnosis and Management of Proximal Focal Femoral Deficiency.Diagnostics (Basel, Switzerland) · 2025Article
- What's new in pediatric lower limb reconstruction?Journal of children's orthopaedics · 2024Article
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Authors and funding
7 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
BACKGROUND
objectiveThe purpose of this study was to evaluate prosthetic outcome in patients with severe congenital femoral deficiency and the potential benefits of surgical intervention on prosthetic fitting and gait.
methodsA retrospective review identified 26 active case records with a proximal femoral focal deficiency using a prosthesis. Validated outcome measures evaluated comfort, function, and prosthetic use and quality-of-life assessment. Outcome compared age groups and surgical intervention. Gait analysis performed in 7 patients further evaluated hip and knee function.
resultsEleven male patients and 15 female patients, including 13 children (mean age 10 years, range 5-16) and 13 adults (mean age 36 years, range 23-63) were evaluated. Better prosthetic function and PedsQL scores were recorded in the pediatric group. There was a trend for better scores after surgery. Gait analysis demonstrated reduced hip extension compensated by knee flexion in 3 patients, 2 patients had hip extension with near normal kinematics, 1 untreated patient walked with an unsteady gait, and the remaining walked well using an ischial-bearing prosthesis with pelvic compensatory movements.
conclusionThe management strategy in severe proximal femoral focal deficiency remains a major challenge. Hip reconstruction seems to improve functional scores. Overall, the scores seem to decline into adulthood but not significantly. Gait analysis before further surgical intervention is recommended because compensatory knee flexion may improve step length in terminal stance. Limited numbers, with short follow-up, prevents clear guidance on the benefit of surgery.
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