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.
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.
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.
Related Articles in Journal of Orthopaedic Case Reports
November 27, 2020 A Newer Technique of Extended Cortical Fixation to Salvage Intratunnel Blowout during Revision Anterior Cruciate Ligament Reconstruction – A Case Report
November 8, 2018 Delayed Diagnosis of Herpes Zoster Infection due toLong-Term Pregabalin Treatment for Lumbar Spinal Canal Stenosis: A Case Report
January 1, 2025 MIS transoral technique for C1-C2 cord compression – Intricacies using a 360⁰ navigated approach
November 7, 2018 Devising Osteosynthesis for the Reverse Oblique Olecranon Fracture: A Case Report