Full Description
Now in a completely revised and updated second edition, this comprehensive and generously illustrated 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.
New to this edition is the inclusion of invited commentary from additional experts, adding further context and clinical pearls. Additionally, ten new chapters have been added, including some that are completely rewritten by different authors and other chapters that cover new themes such as patient reported outcome measures, setting up a limb deformity practice, pin site care and management of bone defects.
Covering all aspects of the management of pediatric lower limb deformities in different practice settings, and written by internationally renowned experts in the field, this new edition of Pediatric Lower Limb Deformities continues to be an invaluable resource for orthopedic surgeons and trainees worldwide.
Contents
Part I : General Principles and Techniques.- 1. Etiology of Lower Limb Deformity.- 2. Clinical Evaluation Including Imaging.- 3. Decision Making in Lower Extremity Deformity Correction.- 4. Outcome Measures in Limb Lengthening and Deformity Correction.- 5. Keys to Building a Successful Pediatric Limb Reconstruction Program.- 6. Growth Modulation for Angular and Length Correction.- 7. Physeal Bar Excision.- 8. Acute Deformity Correction Using an Osteotomy.- 9. Gradual Deformity Correction in Children and Adolescents.- 10. Pin Site Care.- 11. Fixator Assisted Nailing and Plating.- 12. Hybrid Techniques for Limb Length and Deformity Correction.- 13. Motorized Intramedullary Lengthening of the Femur: Antegrade and Retrograde.- 14. Motorized intramedullary lengthening of the tibia.- Part II : Related Concepts and Management Options.- 15. Biomechanically Based Clinical Decision Making in Pediatric Foot and Ankle Surgery.- 16. Congenital Foot Deformities.- 17. Management of Pediatric Foot and Ankle Deformities: Gradual Correction.- 18. Pediatric Joint Contractures.- 19. Physical Therapy During Limb Lengthening and Deformity Correction: Principles and Techniques.- 20. Amputation and Prosthetic Management: Amputation as a Reconstructive Option.- 21. Working in Resource-Challenged Environments.- Part III : Underlying Conditions.- 22. Metabolic Disorders.- 23. Osteogenesis Imperfecta.- 24. Lower Limb Deformity in Neuromuscular Disorders: Pathophysiology, Assessment, Goals and Principles of Management.- 25. Arthrogryposis.- 26. Limb lengthening and deformity correction in patients with skeletal dysplasias.- 27. Lower Extremity Benign Bone Lesions and Related Conditions.- 28. Management of Juxtaphyseal Malignant Bone Tumors Around the Knee Joint: New Concepts in Limb-Sparing Surgery.- Part IV : Congenital and Developmental Disorders.- 29. Congenital Femoral Deficiency Reconstruction and Lengthening Surgery.- 30. Fibular Hemimelia in the Pediatric Patient.- 31. Tibial Hemimelia.- 32. Treatment of Congenital Pseudarthrosis of the Tibia.- 33. Congenital Posteromedial Bowing of the Tibia.- 34. Controversies in Blount's Disease.- Part V : Sequelae and Complications.- 35. Methods to Enhance Bone Formation in Distraction Osteogenesis.- 36. Residual Deformities of the Hip.- 37. Posttraumatic Lower Limb Deformities in Children.- 38. Postinfectious Deformities of the Lower Limb.- 39. Bone Defects.- 40. Iatrogenic Deformities.
