Limb-Length Discrepancy

The Limb-Length Discrepancy Program is a comprehensive program for children from birth through age 18 who have a limb deformity or an inequality in limb length.

We provide diagnostic evaluation and treatment designed to improve function and well-being, relying on a team approach that combines the expertise of an orthopedic surgeon, radiologist, physical therapist, and orthotist (a specialist who fits your child for a brace or splint). We also frequently consult with specialists from Genetics, Therapeutic and Rehabilitation Services, and Behavioral Health – the latter to help your child positively cope with any feelings about his or her condition and treatment.

Both surgical and non-surgical treatment options are available, including shoe lifts, bracing, limb lengthening, and limb shortening.

Conditions We Treat

• Congenital malformations, such as:
  • Fibular hemimelia (absence of part of the fibula)
  • Congenital short femur
  • Hemihypertrophy (overgrowth of one side of the body).
    
    
• Acquired problems, such as:
  • Trauma (bone fractures)
  • Infection that damages growth plates, resulting in severe shortening or deformities.
    
    
• Limb-length discrepancies caused by disease, including neurofibromatosis (link to NF section under Genetics) and Blount’s disease.

Services We Offer

• a “Limb Lengthening and Realignment” guide, to address frequently asked questions
• exercise program development
• epiphysiodesis (surgical slowing of growth)
• limb lengthening
• limb shortening
• angular or rotational correction