What is the treatment for Congenital Femoral Deficiency (CFD)?

Most patients with mild to moderate congenital femoral deficiency/proximal femoral focal deficiency can be successfully treated with limb reconstruction and sequential limb lengthening. Initial treatment begins around the age of 18-24 months. This initial treatment consists of joint reconstruction for the hip and knee. Most patients with mild to moderate congenital femoral deficiency/proximal femoral focal deficiency can be successfully treated with limb reconstruction and sequential limb lengthening. Initial treatment begins around the age of 18-24 months. This initial treatment consists of joint reconstruction for the hip and knee. Most patients with mild to moderate congenital femoral deficiency/proximal femoral focal deficiency can be successfully treated with limb reconstruction and sequential limb lengthening. Initial treatment begins around the age of 18-24 months. This initial treatment consists of joint reconstruction for the hip and knee.



What is congenital femoral deficiency?

Congenital femoral deficiency (CFD) refers to a spectrum of congenital (present at birth) malformations of the thigh bone (femur) due to incomplete or abnormal development. CFD may affect one leg (most commonly) or both legs.

How common is congenital femoral deficiency?

CFD is a rare condition; one or two out of every 100,000 children are affected. Congenital femoral deficiency can affect one side of the body, or both.

What causes proximal focal femoral deficiency?

Causes of PFFD

In most cases, researchers suspect PFFD is caused by a disruption during early prenatal development, which can be caused randomly or as a result of an outside force such as an infection or trauma.

Is proximal focal femoral deficiency genetic?

Proximal femoral focal deficiency (PFFD), also known as Congenital Femoral Deficiency (CFD), is a rare, non-hereditary birth defect that affects the pelvis, particularly the hip bone, and the proximal femur.

What is congenital femoral deficiency and how is it treated?

Congenital femoral deficiency commonly appears with fibular hemimelia, a condition where the fibula (the smaller of the two shin bones) is short or absent, and the tibia is short as well. One in 40,000-100,000 children is born with congenital femoral deficiency. It is rarely seen in siblings–even in identical twins.

Can you wear two shoes with congenital femoral deficiency?

Congenital Femoral Deficiency. If the lift is greater than 10 cm, a prosthetic foot connected to an articulated AFO may be preferred because of aesthetic considerations—a prosthetic foot allows wearing two shoes of the same size and style with no shoe lift beneath the shoe.

How is hip reconstruction performed for Congenital Femoral Deficiency?

This type of hip reconstruction is performed before any lengthening is planned. Most patients with mild to moderate congenital femoral deficiency/proximal femoral focal deficiency can be successfully treated with limb reconstruction and sequential limb lengthening. Initial treatment begins around the age of 18-24 months.

What are congenital deformities of the femur?

Congenital deformities involving the femur consist of a spectrum of disorders and considerable variation regarding terminology exists. Congenital deficiency of the femur (CFD) is a spectrum of disorders which includes proximal focal femoral deficiency (PFFD), coxa vara, hypoplastic and congenital short femur.

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