X-linked hypophosphatemia is an inheritable disorder of renal phosphate wasting that clinically manifests with rachitic bone pathology. X-linked hypophosphatemia is frequently misdiagnosed and mismanaged. Optimized medical therapy is the cornerstone of treatment. Even with ideal medical management, progressive bony deformity may develop in some children and adults. Medical treatment is paramount to the success of orthopaedic surgical procedures in both children and adults with X-linked hypophosphatemia. Successful correction of complex, multiapical bone deformities found in patients with X-linked hypophosphatemia is possible with careful surgical planning and exacting surgical technique. Multiple methods of deformity correction are used, including acute and gradual correction. Treatment of some pediatric bony deformity with guided growth techniques may be possible.



Polls results
1

On a scale of 1 to 10, rate how much this article will change your clinical practice?

NO change
BIG change
81% Article relates to my practice (9/11)
9% Article does not relate to my practice (1/11)
9% Undecided (1/11)
2

Will this article lead to more cost-effective healthcare?

45% Yes (5/11)
27% No (3/11)
27% Undecided (3/11)
3

Was this article biased? (commercial or personal)

18% Yes (2/11)
81% No (9/11)
0% Undecided (0/11)
4

What level of evidence do you think this article is?

0% Level 1 (0/11)
0% Level 2 (0/11)
54% Level 3 (6/11)
27% Level 4 (3/11)
18% Level 5 (2/11)