Congenital Short limb - CHU Sainte-Justine - SAAC

Treatment Armamentarium
• Total limb rotationplasty:
– for Gillespie Group B/C
patients with poor hip
function and very short femur
– entire limb rotated 180°,
femur fused to ilium
– knee flexion/extension
becomes “hip”
flexion/extension
– ankle plantarflexion/
dorsiflexion becomes “knee”
extension/flexion Brown, JBJS 83-A 2001