Note: If you disagree with any of my ratings, please send me a note and explain. I'm always open to changes.
PFFD Research by
Janet - good summary paper and list of references
Size: External Link, Rating: Strongly Recommended
Management of Leg Length
Inequality - link to Medscap site (need free id and password)
McCarthy, James and MacEwen, g. Dean, 2001
Size: External Link, Rating:
Lengthening Reconstruction Surgery for Congenital
Femoral Deficiency
Paley, Dror, 1997
Size: 58K, Rating: Strongly Recommended
Everyone asks us about limb lengthening and who is the expert. We honestly
don't know, but it appears that Dr. Paley is on the cutting edge of limb
lengthening and reconstruction. This paper is very technical and I got pretty
lost at times, but it does explain the treatment options available for different
classes of femoral deficiencies. I particulary liked the Abstract, the Age
Strategies, and the LRS vs PRS discussion at the end.
[[PFFD: A Congenital Anomaly A Symposium, National Academy of Sciences]]
Aitken, G.T., 1969
National Academy of Sciences Symposium
Size: 5K Rating: No rating - see rating for each contributor
A symposium on PFFD at the National Academy of Sciences in Washington, D.C.
on June 13, 1968. Dr. Aitken was the overall editor and was also one of the
5 contributors. The other contributors were King, Amstutz, Hall and Bochmann,
and Westin and Gunderson. See each author for a description of their section.
[[PROXIMAL FEMORAL FOCAL DEFICIENCY-DEFINITION, CLASSIFICATION, AND MANAGEMENT]]
Aitken, George T., 1969 Part 1 of 5 of National
Academy of Sciences SymposiumSize: 34K, Rating: STRONGLY RECOMMENDED
If you have a child with PFFD you've probably heard the term Class A, Class
B, etc, or you will soon. Those classes refer to the Aitken Classification
System. In this paper, Dr. Aitken describes his 4 class classification system
and treatment options for unilateral and bilateral cases in each class. He
also includes several case presentations.
[[SOME CONCEPTS OF PROXIMAL FEMORAL FOCAL DEFICIENCY]]
King, Richard E., 1969Part 2 of 5 of National Academy of Sciences Symposium
Size: 24K, Rating: Very technical, difficult to readSignificant point in this paper is that King proposes that if acetabulum
is visible at birth the femoral head will develop. He also describes treatment
options for the 4 Aitken classes and presents several cases. Otherwise, I
found it difficult to read and frequently hard to understand.
[[THE MORPHOLOGY, NATURAL HISTORY, AND TREATMENT OF PROXIMAL FEMORAL FOCAL DEFICIENCIES]]
Amstutz, Harlan C. , 1969 Part 3 of 5 of
National Academy of Sciences SymposiumSize: 45K, Rating: Recommended
Dr. Amstutz describes his 5 class (with 6 subtypes) classification system
and presents limb growth data based on 68 patients. Excellent section on
treatment of leg-length inequality.
[[THE SURGICAL AND PROSTHETIC MANAGEMENT OF PROXIMAL FEMORAL FOCAL DEFICIENCY]]
Hall, John E. and Bochmann, D., 1969 Part
4 of 5 of National Academy of Sciences
Size:24K, Rating: RecommendedBrief description of PFFD followed by a very detailed description of how
to fabricate a Van Nes prosthesis.
[[PROXIMAL FEMORAL FOCAL DEFICIENCY-A REVIEW OF TREATMENT EXPERIENCES]]
Westin, G. Wilbur and Gunderson, Finn O., 1969 Part 5
of 5 of National Academy of Sciences
Size:36K, Rating: RecommendedVery good review of treatment experiences of 165 PFFD cases at Shriners
Hospitals. Includes 10 tables showing treatments and results. Only drawback
is the age - covers cases from 1931 to 1968.
[[Alternatives to Surgery in the Treatment of PFFD|Alternatives to Surgery in the Treatment of Proximal Femoral Focal Deficiency]]
The Patient Friendly Functional Device
Moseley, Mark R., 1999
Size:16K, Rating: Recommended
Good summary of the treatment options, with emphasis on the one that is most
often overlooked - no treatment. Dr. Moseley describes the benefits of his
device that can be fitted over the foot with no surgery required.
Wheeless Textbook
( Sees to be an expired link )
DuPont
Case Study
review to be added....