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Average 4.1 of 38 Ratings
An 11-week-old infant presents with a leg length discrepancy and otherwise normal neurologic exam. A radiograph is shown in Figure A. It is predicted that the ankle of the involved limb will lie at the level of the knee joint of the normal limb at maturity. What recommendations should be given to the parents?
Immediate femoral-pelvic fusion
Immediate Syme amputation and knee fusion with hip stabilization at 1 year if the femoral head is deficient.
Delayed Syme amputation and knee fusion with hip stabilization at 1 year if the femoral head is deficient.
Delayed Van Ness rotationplasty with hip stabilization at 1 year if the femoral head is deficient.
Immediate femoral lengthening
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The anterior cruciate ligament is most likely deficient in patients with which of the following abnormalities?
Congenital radial head dislocation
Proximal focal femoral deficiency