Description
This video presentation features Claire Shannon discussing Congenital Femoral Deficiency (CFD), a rare condition characterized by congenital malformations of the femur. Shannon explains that CFD's incidence ranges from 1 in 50,000 to 1 in 200,000, with severe cases, particularly bilateral non-ossified necks, being much rarer. The lecture covers the varying presentations of CFD, genetics, associated syndromes, and the complexity of its deformities, which include varus, retroversion, and flexion of the proximal femur.
Shannon elaborates on the pathoanatomy of CFD, explaining how developmental sequences can fail, leading to disorganized femoral neck structures. Detailed imagery is utilized to illustrate the severity of the anatomical deformities. The discussion includes implications for surgical interventions, such as lengthening reconstruction surgery versus prosthetic options, as well as the importance of establishing a life plan for affected patients.
The classification system for different types of CFD and corresponding treatment strategies, including SUPERhip surgeries, is described. Shannon concludes with treatment frameworks focused on balancing limb length discrepancies with both surgical and non-surgical options while emphasizing the significance of tailored approaches to meet familial and patient goals. The session is packed with illustrations, imaging, and practical insights useful for medical practitioners in orthopedic surgery, particularly in pediatric cases.