Comprehensive and generously illustrated, this text highlights both general principles and specific strategies for managing the spectrum of pediatric lower limb deformities. It is divided thematically into five sections, though any chapter can stand on its own to guide the clinician in specific situations. Part I covers general principles and techniques, including etiology, clinical evaluation, imaging as well as different surgical methods. Part II, covering related concepts and management options, discusses soft tissue contractures, amputations and working in austere and resource-challenged settings. Underlying conditions comprise part III – specific metabolic, neuromuscular and tumor-related conditions, along with arthrogryposis, Osteogenesis Imperfecta and various skeletal dysplasias. Part IV presents congenital and developmental disorders, such as congenital femoral deficiency, hemimelias, tibial pseudoarthrosis and Blount disease, while part V rounds out the book with chapters on sequelae related to different etiologies and their treatment. Covering all aspects of the management of pediatric lower limb deformities and written by renowned experts in the field, this textbook will be an invaluable resource for orthopedic surgeons and trainees worldwide.
- A comprehensive text focusing on general principles and specific strategies for managing the spectrum pediatric lower limb deformities
- Sections discuss general principles and techniques, related concepts and management options, underlying conditions, congenital and developmental disorders and sequelae and complications
- Chapter authors are well-known experts in the field of lower limb deformities
Part I: General Principles and Techniques.- Etiology of Lower Limb Deformity.- Clinical Evaluation Including Imaging.- Decision Making in Lower Extremity Deformity Correction.- Growth Modulation for Angular and Length Correction.- Physeal Bar Excision.- Acute Deformity Correction Using an Osteotomy.- Gradual Deformity Correction.- Hybrid Techniques for Limb Length and Deformity Correction.- Motorized Intramedullary Lengthening, an Emerging Technology for Limb Length and Deformity Correction.- Part II: Related Concepts and Management Options.- Biomechanically Based Clinical Decision Making in Pediatric Foot and Ankle Surgery.- Pediatric Joint Contractures.- Physical Therapy During Limb Lengthening and Deformity Correction: Principles and Techniques.- Amputation and Prosthetic Management: Amputation as a Reconstructive Option.- Working in Resource-Challenged Environments.- Part III: Underlying Conditions.- Metabolic Disorders.- Osteogenesis Imperfecta.- Lower Limb Deformity in Neuromuscular Disorders: Pathophysiology, Assessment, Goals and Principles of Management.- Arthrogryposis.- Limb Lengthening and Deformity Correction in Patients with Skeletal Dysplasias.- Lower Extremity Benign Bone Lesions and Related Conditions.- Management of Juxtaphyseal Malignant Bone Tumors Around the Knee Joint: New Concepts in Limb-Sparing Surgery.- Part IV: Congenital and Developmental Disorders.- Congenital Femoral Deficiency Reconstruction and Lengthening Surgery.- Fibular Hemimelia: Principles and Techniques of Management.- Tibial Hemimelia.- Congenital Pseudarthrosis of the Tibia.- Controversies in Blount’s Disease.- Part V: Sequelae and Complications.- Methods to Enhance Bone Formation in Distraction Osteogenesis.- Residual Deformities of the Hip.- Post-traumatic Lower Limb Deformities in Children.- Postinfectious Deformities of the Lower Limb.- Iatrogenic Deformities.
Sanjeev Sabharwal, MD, MPH
Professor, Department of Orthopedics
Chief, Division of Pediatric Orthopedics
Rutgers-New Jersey Medical School
Newark, NJ, USA