Deformities

Limb deformities and/or length discrepancies in children, adolescents, and adults can be congenital or acquired, such as after a bone fracture.

One of my fields of expertise is the treatment of congenital deformities of the lower limb and foot. Congenital deficiencies, such as fibular hemimelia, congenital femoral deficiency (CFD), and other shortenings and malalignments of the bones, can be reconstructed and treated with modern approaches and techniques.

Limb deformities in adults are commonly the result of trauma. The malalignment and limb-length discrepancy can lead to pathologic loading and strain within the affected and surrounding joints, resulting in cartilage degeneration and subsequent limitation of mobility and pain.

Although physical therapy, braces, and other orthopedic devices can often improve these symptoms in more minor cases, surgical solutions can restore the anatomy and function in others.

Obtaining a detailed patient history is the first step toward correct diagnosis. The physical examination, evaluation of the gait pattern, and imaging studies such as radiographs (x-rays), magnetic resonance images (MRI), and computed tomographic (CT) scans lead to a correct diagnosis and problem list.

My personalized therapy and treatment approach aim for the least invasive intervention. Surgical solutions are discussed in great detail to make sure that realistic expectations are set for every party involved.

Because of my extensive experience treating children of all ages, I can usually create a relaxed atmosphere that allows clinical examination and age-related counseling. For children, the timing of interventions, school, and sports requirements and ambitions need to be considered.