CHAPTER 30
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The Child with a Limb Deficiency
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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.
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 30-30.
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.
