Ensuring Surgical Safety in Proximal Femoral Focal Deficiency

Proximal Femoral Focal Deficiency
This is a Proximal Femoral Focal Deficiency Blog
The blog is published by 19 Jun, 2024

Proximal femoral focal deficiency is a very infrequent congenital abnormality affecting the hip and thigh bones.

Organization Profile: At Trishla Ortho Clinic, We are committed to providing persistent care and coverage for surgically vulnerable individuals with proximal femoral focal deficiency. We cover the full spectrum, starting with the diagnosis and ending with follow-up.

PPFD is a rare disorder with the cause still unknown despite the advancements in medical science. Here is the proximal femoral focal deficiency definition from different sources:

 

What is an overview of this condition, also known as PFFD?

 

Proximal femoral focal deficiency (PFFD) is an adverse birth condition in which the femur is either poorly or not developed. It significantly impacts the hip joint, with limb shortening and impairment.

  • Present at delivery: Affects the development of the hip and femur.
  • Severity varies: From moderate shortening to complete absence of the femur.
  • Diagnosis: Early detection is essential for effective remedy.

 

Epidemiology of PFFD

 

PFFD is an extraordinary situation with an estimated incidence of 1 in 50,000 live births. Undoubtedly, it is similar for each gender and shows no trend concerning race preference.

The particular cause of PFFD remains unidentified, although it is thought to have been obtained from abnormalities during fetal development. Factors may additionally consist of:

  • Genetic mutations: Though not generally inherited.
  • Environmental influences: Maternal publicity of certain pills or infections.

 

Classification of PFFD

 

PFFD can be categorized into four sorts, primarily based on severity and presentation:

  • Type A: Mild femoral shortening with a notably regular hip joint.
  • Type B: Moderate shortening with hip deformities.
  • Type C: Significant femoral shortening and malformed hip joint.
  • Type D: Complete absence of the proximal femur.

 

Types of Surgical Treatments for PFFD

 

Depending on the severity and class, various surgical options for proximal femoral focal deficiency treatments are to be had:

 

Reconstructive Surgeries

 

Reconstructive surgical procedures intended to improve hip stability and features.

  • Osteotomies: Cutting and realigning bones for better joint function.
  • Soft tissue balancing: Procedures to balance muscle around the joint.

The whole reconstruction procedure is known as super hip surgery.

 

Limb Lengthening Procedures

 

These strategies gradually elongate the bone to correct limb duration discrepancies.

  • External fixators: Devices that slowly stretch the bone.
  • lengthening over nail: The external fixator will elongate the bone while the nail is inside the bone

 

Pre-Surgical Planning

 

Effective surgical operation begins with designated pre-surgical plans being made at Trishla Ortho by the best pediatric orthopedic doctor in India.

  • Comprehensive assessment: Detailed imaging and valuable opinions.
  • Interdisciplinary technique: Collaboration among orthopedic surgeons, pediatricians, and rehabilitation specialists.
  • Customized plans: Tailored surgical strategies for each patient.

 

Patient Preparation

 

Preparing patients is essential for successful surgical effects.

  • Educational sessions: Informing about the surgery, restoration, and anticipated consequences.
  • Psychological assist: Addressing anxieties and preparing emotionally.
  • Nutritional steerage: Ensuring foremost health before surgical procedure.

 

Intraoperative Safety Measures

 

Ensuring safety at some stage in surgical treatment is crucial for successful results.

  • Advanced techniques: hip reconstruction done by a highly skilled pediatric orthopedic surgeon.
  • Modern centers: Equipped with modern-day scientific technologies.
  • Experienced surgeons: Specialized in coping with PFFD instances.

 

Anesthesia Considerations

 

Safe administration of anesthesia is essential in PFFD surgical procedures.

  • Experienced anesthesiologists specializing in pediatric instances.
  • Tailored anesthesia plans: Based on the patient’s desires and health fame.
  • Monitoring: Continuous monitoring is performed during the procedure.

 

Post-Surgical Care and Follow-Up

 

Post-surgical care is essential for healing and ensuring success for a lengthy period.

 

Immediate Post-Surgical Care

 

  • Pain management: Effective pain manipulation techniques.
  • Infection prevention: Strict hygiene protocols and monitoring.
  • Early mobilization: Encouraging motion for best outcome.

 

Rehabilitation Programs

 

Rehabilitation is critical to regain power and mobility.

  • Physical therapy: Tailored exercises to improve function.
  • Occupational therapy: Assisting in daily activities.
  • Family involvement: Training parents for at-home exercises.

 

Monitoring and Follow-Up

 

Regular compliance with appointments is essential for monitoring development.

  • Frequent tests: Regular visits to evaluate progress.
  • Imaging exams: Periodic X-rays or MRIs to see bone growth and alignment.
  • Adjustment of treatment: Based on progress and problem.

 

Potential Challenges in PFFD Surgeries

 

Despite advancements, there are demanding situations in managing PFFD.

  • Growth issues: Managing growth discrepancy in kids and adjusting treatments.
  • Infection control: Preventing and managing up-surgical infections.
  • Functional outcomes: Ensuring the best outcome.

 

Supporting Patients and Families

 

Educating and supporting sufferers and their households is a cornerstone of our technique.

  • Educational resources: Providing comprehensive facts about PFFD.
  • Support businesses: Connecting families with similar studies.
  • Psychosocial help: Offering counseling and emotional support.

 

Long-Term Outlook for PFFD Patients

 

With suitable treatment, many PFFD patients attain nearly functional limbs.

  • Functional independence: Many can carry out daily sports.
  • Quality of lifestyles: Enhanced mobility and better social interactions.
  • Continued monitoring: Ongoing care is needed to deal with any issues.

 

Comprehensive Care and Innovation

 

At Trishla Ortho Clinic, we usually try to find progressive procedures to improve outcomes for PFFD sufferers. Our dedication to research and improvement guarantees that we stay at the forefront of medical advancements, offering the latest and best remedies.

 

Research and Development

 

Our commitment to innovate is evident in our ongoing efforts in studies.

  • Clinical trials: Participating in research to test new treatments and technology.
  • Collaborations: Working with leading scientific establishments to evaluate outcomes.
  • Patient comments: emphasize patient feedback & their outcome. We refine our work to improve patient outcomes and satisfaction.

 

Personalized Care Plans

 

Each affected person gets a custom-designed care plan designed to fulfill their particular wishes.

  • Individual checks: Thorough evaluations are conducted to understand every patient’s circumstances.
  • Tailored remedies: Customized surgical and non-surgical methods.
  • Holistic assist: Addressing bodily, emotional, and social factors of care.

 

Advanced Surgical Techniques

 

At Trishla Ortho Clinic, we utilize advanced surgical strategies to ensure quality outcomes for patients with proximal femoral focal deficiency. Our experts are trained in advanced surgical management of this difficult problem with 20 years experience.

This is a Proximal Femoral Focal Deficiency Blog
The blog is published by 19 Jun, 2024

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FAQ’s

How do you treat proximal femoral deficiency?
The surgical options include knee arthrodesis, foot amputation, limb rotationplasty, hip reconstruction, limb lengthening, and iliofemoral arthrodesis (see Surgical Therapy). Treatment of children with bilateral PFFD differs from that of children with unilateral PFFD.
What is proximal focal femoral deficiency prosthetic?
While most children with proximal femoral focal deficiency will need an above-the-knee prosthesis with a mechanical knee, others with a stable biologic knee may only need a below-the-knee prosthesis.
Is PFFD hereditary?
The causes of PFFD are unknown, but it is known that it does not run in families (not genetic).
Is PFFD a disability?
Proximal Femoral Focal Deficiency--have you ever heard of it? Don't feel bad. Not a lot of people have, unless they are born with it or know someone with this disability. Proximal Femoral Focal Deficiency, or PFFD, comes in different classifications ranging from A, a small bone deficiency, to D, a large bone defect.

Reviewed and Submitted by Dr. Jitendra Kumar Jain

Last updated on June 19, 2024

Dr.Jitendra Jain, MD and DNB (Orthopedics), president at Trishla Foundation, an NGO for treatment of cerebral palsy, and a Consultant Pediatric Orthopedic Surgeon & Cerebral Palsy Specialist at Trishla Orthopedic Clinic & Rehab Center.
Dr. J. K. Jain is a member of the general council at Dr. SMN university of rehabilitation, Lucknow, a member of the advisory board chief commissioner for PWD, Govt. of India (New Delhi), a member of the state disability research committee (U.P.), and a member of the committee of RCI, New Delhi. He has been awarded many awards, including the Dr.Bhagawan das memorial award, the spirit of humanity award, and the state govt. award for his services towards PWD, etc. Times of India has posted his work many times and mentioned him as one of the best doctors in the field of Pediatric Orthopedics. He helped many children recovering from cerebral palsy, just like comedian jay Chanikara, who is now able to stand and walk without any support, Abena, a Ghana girl with cerebral palsy, and many more. He also organized the National Wheelchair cricket tournament and created World’s first cerebral palsy village foundation in Prayagraj. He successfully treated 10,000+ children with various kinds of orthopedic disability, conducted 160+ free assessment camps, and produced a documentary film on cerebral palsy.

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