Limb Reconstruction and Lengthening Program

Children can be born with a limb deformity or limb length difference. Limb development can also be affected from traumatic injuries, severe infections, benign or malignant tumors, or developmental, vascular, hematologic or neurologic conditions. Our Limb Reconstruction and Lengthening Program evaluates and treats children with many conditions affecting limb development and function. These include:

Arthrogryposis is a set of conditions that can cause a child’s joints to be stiff and not move like they should. This can make it difficult for kids to run, jump and play.

Blount’s disease is a condition that affects growth in the bones of the lower leg.

Such as tibial torsion (inward twisting of the shin bone), femoral anteversion (inward twisting of the thigh bone), bowlegs, knock knees and many conditions of the feet.

Congenital limb differences including:

  • Congenital femoral deficiency: Incomplete or abnormal development of the thigh bone (femur) present at birth.
  • Fibular hemimelia: Short or missing fibula (lower leg bone) at birth.
  • Tibial hemimelia: Short or missing tibia (shin bone) at birth.

A break or nonunion of the tibia (large bone in lower leg) that doesn’t heal properly.

A break or nonunion of the clavicle (collarbone) or a bone in the forearm.

Caused by previous fractures, infections or tumors:

  • Post-burns contractures
  • Post-infective deformities
  • Post-trauma deformities

Foot conditions such as:

  • Clubfoot
  • Congenital vertical talus: A rare condition, present at birth, that causes a child’s foot to be rounded on the bottom (sole).
  • Brachymetatarsia: A significantly shorter bone in the foot—typically affecting the fourth toe.

Excessive growth (overgrowth) on one side of the body.

When the knees tilt inward.

When one arm or leg is shorter than the other.

A rare genetic disorder that affects the nervous system, causing tumors to develop on nerves throughout the body.


Skeletal dysplasias affecting bones and joints.


  • Radial clubhand: When the radius bone in the arm is missing or underdeveloped, causing the hand to bend inward.
  • Ulnar hemimelia
  • Madelung’s deformity: A condition affecting the growth plate in the forearm.

Made up of clusters of arteries, veins, capillaries or lymphatic vessels. They may be a combination of vessels or vessels that did not form like typical vessels should have.