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Limb Deformity

1. What is Correction of Limb Deformities?

One of the major causes of concern for Limb deformity is secondary trauma or untreated fractures and infection. Limb deformity leads to limp pain and the patient finds it difficult to carry out daily activies and this causes physical and psychological impact on the patient. We are committed to providing solutions to the condition and providing patients with positive results.

2. What causes it?

  • Trauma: A fracture not treated properly can lead to deformed bone which is called MALUNION. These do not necessarily cause you any problems in the short term but can cause problems on the surrounding joints where the “wear-and-tear” and stress on the joint is not equal across the joint.

A mal-union can also give the appearance that the limb is shorter.

A mal-union in the leg can therefore give you a limp and may cause problems with back pain due to the tilt when walking or standing.

  • Some conditions cause deformity in bones.
    • Blounts Disease may cause bony deformity and bone growth problems.
    • Hypophosphatemic Rickets can cause osteomalacia, commonly referred to as “thinning of the bones” due to the lack of ability to absorb calcium.

It can also cause slower bone growth.

Patients with rickets may have severe “bowing” of the shin-bones.

This gives the appearance of being of short stature and may cause problems with the surrounding joints long-term.
Acondroplasia

  • INFECTION: long standing infection can lead to bone loss and deformity which leads to improper functioning of the joints and deformity

3. What are the symptoms/effects?

  • Short limb - Because of deformity there is inequality of the limbs and patients normal walking pattern is affected. He limps while walking and this restricts his activities.
  • Unable to walk properly
  • Visible deformity - Limb shortening is many times associated with visible deformity as bone is healed in wrong position .
  • Pain - Deformity may be associated with pain when the fracture is not healed and as patient walks the fracture is stressed and causes pain. This leads to further deformity and restrict his activities.
  • Impaired normal activities like walking, climbing stairs and running - With deformity and shortening it is difficult to do strenuous activities. Climbing stairs, running, and other sports activities are restricted and attempts to this leads to pain.

4. How is it diagnosed?

Most of the times the patient comes with a complaint of visible deformity. On examination his restriction of activities, stiff joints can be revealed.

Patients may come with a complaint of pain and on examination his deformity can be revealed.

So though physical examination of the whole body is mandatory for all patients as pain in the limb may be secondary to deformity at other places.

Once examination is over relevant Xray and blood investigations helps to diagnose it further.

5. What are the treatment options?

Treatment of deformity needs proper diagnosis and treatment. As these patients many times have undergone multiple surgeries, just adding a procedure will add to further trauma to the patients.

They need to go for detailed counseling along with their spouse and family members. As the treatment is prolonged and needs frequent hospital visit, they need to understand the nature of treatment its course and duration.