PFFD Management options Lengthening of femur Surgical procedures to provide hip stability & bony continuity Syme amputation / removal of foot + fusion
{"Image DocumentName": "PFFD Management options", "Image ImageDescription": "Lengthening of femur. Surgical procedures to provide hip stability & bony continuity. Syme amputation / removal of foot + fusion of knee joint & prosthesis. Van Nes rotationplasty. non standard prostheses. Need to consider: Inequality in leg length. Malrotation. Inadequate proximal musculature. Instability of the proximal joints. Lengthening of femur - Ilizarov (if 60% length of contralateral femur) Surgical procedures to provide hip stability & bony continuity. Syme amputation / removal of foot + fusion of knee joint + prosthesis. Van Nes rotationplasty (length 50% or < of the contralateral femur) non standard prostheses. Van Nes rotationplasty. In this procedure the tumour is removed while the neurovascular bundle and distal portion of the tibia and foot are maintained. The tibia and foot are rotated 180 degrees, then attached to the remaining proximal femur so that the ankle is at the hight of the contralateral knee. Benefits include have a functional knee joint, stable reconstruction, less energy consumption and potentially fewer future surgeries. Major disadvantage is the appearance of the limb, especially for teenage girls. for bilateral PFFD most functional without prostheses. Important to differentiate from congenital short femur which has profoundly different functional potential and can be reconstructed. In congenital short femur the entire femur is abnormal rather than a proximal or focal defect.", "Image XResolution": "37", "Image YResolution": "37", "Image ResolutionUnit": "Pixels/Centimeter", "Image Software": "SlidePlayer", "Image YCbCrPositioning": "Centered"}