Accessibility Statement

We are committed to providing a website that is accessible to the widest possible audience. To do so, we are actively working with consultants to update the website by increasing its accessibility and usability by persons who use assistive technologies such as automated tools, keyboard-only navigation, and screen readers.

We are working to have the website conform to the relevant standards of the Section 508 Web Accessibility Standards developed by the United States Access Board, as well as the World Wide Web Consortium's (W3C) Web Content Accessibility Guidelines 2.1. These standards and guidelines explain how to make web content more accessible for people with disabilities. We believe that conformance with these standards and guidelines will help make the website more user friendly for all people.

Our efforts are ongoing. While we strive to have the website adhere to these guidelines and standards, it is not always possible to do so in all areas of the website. If, at any time, you have specific questions or concerns about the accessibility of any particular webpage, please contact WebsiteAccess@tenethealth.com so that we may be of assistance.

Thank you. We hope you enjoy using our website.

Skip to Main Content

Proximal Femoral Focal Deficiency (PFFD)

Congenital Femoral Deficiency can lead to a congenitally short femur with different degrees of a lack of formation of the hip and knee joints. In the mildest cases, the hip and knee are properly formed and only the femur is short. In more severe cases, the hip is severely deformed, the knee is unstable, or has a flexion contracture and the femur is short. In the most severe cases, there is either no connection between the femoral head and the femoral shaft, or there is no hip joint at all and the knee is not only contracted, but also stiff (limited in its motion). The treatment for cases with a well-formed femur is lengthening. For the more severe deformity, the superhip and superknee procedures are used to reconstruct the hip and knee before lengthening. If there is a true pseudarthrosis (false joint), the superhip 2 procedure is used to build a femoral neck and connect the femoral shaft with the femoral head. Finally, in the most severe cases, Syme’s amputation and rotationplasty should be considered.

Find a Pediatric Orthopedic

Need a doctor for your child’s care?