الفهرس 
ClassificationOnly 14 pages are availabe for public view
 |  | from | 104 |  |  |
| | | from | 104 | | |
Abstract
Proximal femoral focal deficiency (PFFD) is a congenital
orthopedic condition involving the upper femur, adjacent soft tissues, and
frequently, the acetabulum as well as distal portions of the limb.
Although the disorder has not been thought to be genetic, some
conclusions can be drawn from embryologic studies.
Many classification was done fore this condition due to a wide
spectrum of this abnormality, the recant one is Paley classification.
Diagnosis and preoperative assessment were made depending upon
clinical examination, x-rays, C.T. ,scanograms and MRI.
Management of these cases represents a challenge for the
orthopedic pediatric surgeon and the approach to management is based on
a problem list for each patient. Due to the fact that, there are many
variations of the cases, so, the treatment of these cases should be
individualized with an aim to obtain leg length equalization at time of
puberty and good function of the knees and hips.
With the advent of Ilizarov system and technique, the need for
amputation and prosthetic fitting which was followed in many cases of
congenital femoral deficiency was not be the ideal management and
attempts done for hip reconstruction, treatment of associated anomalies
and lengthening had gained wide acceptance. With well planned
treatment strategies and right choose of the patients. Cases of PFFD,
could be managed correctly with a proper gain in length, stable
Summary and conclusion
functioning hips and knees and the need for amputations and prosthetic
fitting will no longer be needed.