Proximal femoral focal deficiency

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[edit] Discussion of Proximal femoral focal deficiency

  • Proximal femoral focal deficiency is a congenital absence of the proximal one-third to two-thirds of the femur.
  • Often associated with other congenital anomalies.
  • It is usually apparent at birth by a pronounced shortening of the lower limb at the expense of the thigh.
  • The hip is mobile but is usually flexed, abducted, and externally rotated, and the foot approximates the level of the contralateral knee.
  • The diagnosis and classification are established by radiologic studies.


  • Treatment: The management of proximal femoral focal deficiency requires a multidisciplinary team, which includes the pediatric orthopedic surgeon, prosthetists, and physical therapists. The goals of treatment of PFFD are to compensate for the functional deficits. No single treatment approach universally applies to all cases.

[edit] Imaging Findings for Proximal femoral focal deficiency

[edit] Images

Patient #1

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[edit] References for Proximal femoral focal deficiency