Congenital femoral deficiency is a rare anomaly of the lower limbs, including a spectrum of disorders. Examination of the facies, spine, and whole of the lower limbs becomes imperative in such children to rule out other associated conditions.
The prognosis varies with the severity of the disease, with a good prognosis in the less severe types. The treatment options include surgical intervention in the majority of the cases, with various types of reconstruction surgeries described. This activity reviews the evaluation and management of congenital femoral deficiency and highlights the role of the interprofessional team in evaluating and managing patients with this condition.
Classifies CFD into four major types and multiple subtypes:
Type 1 – intact femur with mobile hip and knee
1A – normal ossification of the femur
1B – delayed ossification
Type 2 – mobile pseudarthrosis (false joint)
2A – femoral head present
2B – femoral head missing or fused to the hip
Type 3 – major deficiency of the femur
3A – knee motion greater than 45°
3B – knee motion less than 45°
3C – femur absent
Type 4 – deficiency at the knee joint
