Conditions Treated by the Limb Preservation and Reconstruction Program

Whatever the nature of your child’s limb difference or deformity, there is an expert at Children’s Hospital with experience treating their specific problem. The Limb Preservation and Reconstruction Program cares for children with a wide variety of conditions that affect their arms and legs, from congenital limb defects and missing limbs to limb length discrepancy or acquired limb deformities caused by trauma or tumors.

We also work closely with other subspecialty programs at CHOP that focus on specific needs related to tumors, cerebral palsy, trauma, and foot, ankle, hand and hip disorders.

Some of the conditions we treat include:

• Amniotic band syndrome
• Angular limb deformities
• Benign bone tumors (multiple hereditary exostosis, osteochondromatosis, enchondromatosis, Ollier disease, fibrous dysplasia, McCune Albright syndrome and others), cared for in partnership with specialists from CHOP’s Bone and Soft Tissue Tumor Program
• Blount’s disease (tibia vara)
• Bowed legs (genu varum)
• Congenital short femur (proximal femoral focal deficiency)
• Coxa vara
• Dysplasia epiphysealis hemimelica (Trevor’s disease)
• Femoral anteversion/retroversion
• Fibular hemimelia (longitudinal deficiency of the fibula)
• Foot deformities (calcaneovalgus foot, congenital vertical talus, cavus foot, flat feet, tarsal coalition and more), cared for in partnership with CHOP’s Foot and Ankle Program
• Growth plate injuries (physeal bar) or damage from infections, tumors or fractures
• Hand deformities (radial club hand, ulnar club hand, Madelung deformity), cared for in partnership with specialists from CHOP’s Hand and Arm Disorders Program
• Hemihypertrophy (or hemihyperplasia) and vascular anomalies, cared for in conjunction with CHOP’s Congenital Vascular Anomalies Program
• Hip deformities, cared for through CHOP’s Hip Disorders Program
• Knock knees (genu valgum)
• Limb-length discrepancies (both acquired and congenital limb length differences)
• Malignant bone tumors (osteosarcoma, Ewing sarcoma and others), cared for in partnership with specialists from CHOP’s Bone and Soft Tissue Tumor Program
• Metabolic bone disease (rickets, osteogenesis imperfecta or brittle bone disease)
• Neurofibromatosis
• Posteromedial bowing of the tibia
• Tibial hemimelia (longitudinal deficiency of the tibia)
• Tibial torsion (internal and external)
• Traumatic fractures, including mal union, non union or pseudarthrosis
• Skeletal dysplasias (achondroplasia, pseudoachondroplasia, Kniest dysplasia, epiphyseal dysplasia and others)