Conditions We Treat

Pediatric Orthopedics

At the Paley European Institute, we specialize in treating rare hip disorders like Congenital Femoral Deficiency (CFD) and common conditions such as Fibular Hemimelia (FH) and Tibial Hemimelia (TH).

For CFD, we offer a comprehensive approach based on the Paley Classification, which includes predictive planning for limb length differences at maturity. Treatment involves preparatory surgery by age three followed by limb lengthening starting around age five.

FH is addressed with an initial surgery between 18 and 36 months of age, known as the SUPERankle procedure, which corrects foot positioning. Subsequent tibial lengthening and potential knee or femoral surgeries are tailored to each case, often predicted during the first visit.

TH treatment varies based on type and severity, typically involving foot correction, tibial alignment, and fibula utilization. In severe cases, knee creation from the patella may be necessary. Each patient receives individualized care to ensure a sensible life plan for function.

Our results have been outstanding, leading to good extremity function in our patients.

Pediatric Orthopedics

Congenital Limb Deformities treated at Paley European Institute

Congenital Femoral Deficiency (CFD):

CFD presents a spectrum of deficiencies, deformities, and abnormalities affecting the upper femur, hip joint, and acetabulum. Our approach involves categorizing CFD into distinct pathoanatomical groups using the Paley classification, allowing us to tailor specific surgical procedures to address each unique condition.

Fibular Hemimelia (FH):

FH, characterized by a shortened, deformed limb and foot, poses unique challenges in diagnosis and treatment. While its cause remains unknown and it’s not considered hereditary, our team employs physical examinations, plain radiographs, and MRI scans to confirm diagnosis and determine the specific nature of the condition. Treatment involves a meticulous understanding of FH types and associated issues, with procedures such as the SUPERankle technique, guided growth for knock knee deformities, and complex limb lengthening often necessary.

Tibial Hemimelia (TH):

TH, detectable through prenatal ultrasound or post-birth X-rays and assessments, demands tailored treatment based on severity. Our strategies focus on addressing foot deformities, utilizing the fibula to compensate for the absent tibia, ankle fusion, and knee reconstruction as needed.

At Paley European Institute, our multidisciplinary team is committed to providing personalized care and innovative treatments to enhance the function and quality of life for patients with congenital limb deformities.