Weinstein Lovell and Winters Pediatric Orthopaedics 7e

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CHAPTER 30  |  The Child with a Limb Deficiency

FIGURE 30-30.  Clinical photograph of a patient with Gillespie type B PFFD. The femur is <50% of the length of the contralateral side. In addition, the proximal femur is unstable with weight bearing.

FIGURE 30-28.  AP radiograph of the pelvis and femur of a boy aged 1 year and 5 months with Aitken class D proximal focal deficiency. There is little femur present, and no sign of acetabular development. He underwent knee arthrodesis and Syme amputation at 2 1/2 years of age.

FIGURE 30-29.  Clinical photograph of a patient with Gillespie type A PFFD. Note the lack of significant knee-flexion contracture on the affected side, with the foot falling below the midpoint of the contra- lateral tibia.

FIGURE 30-31.  Clinical photograph of a patient with Gillespie type C PFFD. There is severe shortening of the femur, and there is complete absence of a femoral–acetabular articulation.