Consequences of Proximal Femoral Focal Deficiency Case Report and Literature Review

Abstract

Introduction: Proximal femoral focal deficit it is believe a congenital condition with phenomena known as dysplastic hip with shortening or absent femur. Proximal femoral focal deficit is relatively uncommon. Estimate of this infrequent anomaly on radiographs can aid treat these cases better as early treatment could help in achieving satisfactory growth of the femur. Importance: We report one of the rarest cases of patient underwent five different surgeries for correction of proximal femoral focal deficit starting from age of 11 years to 25 years of age and dealing with proximal femoral focal deficit complication. Case Presentation: 11 years with left lower limb shortening. The Patient was not following up with any clinic before. He was born via vaginal normal delivery as full-term baby with no postnatal complication. Upon examination, the patient had a shortening of the left lower limb of almost 6cm in comparison to the right side. x ray showed left hip proximal femur focal deficit. Our patient underwent 5 different surgical correction of proximal femoral focal deficit. Clinical Discussion: Proximal femoral focal deficit is an extremely rare congenital anomaly with few case reports in the literature. Therefore, for us to have one case with a long follow-up that includes five surgeries done to the same patient, which is not described in the existing literature, is exceptional. No literature describe how to deal with complication of Proximal femoral focal deficit. Conclusion: The discovery of one cases of proximal femoral focal deficiency, a rare entity. Moreover, dealing with such rare case with it is compilation consider a very rare entity