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

 

What to Learn from this Article?

Sometimes atypical conditions present to us like limb length difference in achondroplasia. Such situations need to be individualized and customized decisions need to be taken keeping in mind patients preference and demands.


Case Report |  Volume 3 | Issue 3 | JOCR July-Sep 2013 | Page 30-33 | Galata CL, Rieger B, Friederich NF.


Authors: Galata CL[1], Rieger B[1], Friederich NF[1].

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

Address of Correspondence:

Dr.Bertram Rieger: Department of Orthopedic Surgery and Traumatology, Kantonsspital Bruderholz, CH-4101 Bruderholz/ BL, Switzerland. Phone : 0041 61 436 27 42 Fax : 0041 61 436 36 76. Email: Bertram.Rieger@gmx.ch.


Abstract

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.

Keywords: Achondroplasia, dysplastic coxarthrosis, limb shortening, distal femur osteotomy.


 

How to Cite This Article: Galata CL, Rieger B, Friederich NF. Limb shortening osteotomy in a patient with achondroplasia and leg length difference after total hip arthroplasty. Journal of Orthopaedic Case Reports 2013 July-Sep ;3(3): 30-33. Available from: http://www.jocr.co.in/wp/2013/07/08/2250-0685-112-fulltext/


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