Journey of a Child Born with Severe Arthrogryposis and Lower Limb Deformities

A 4 year old girl with arthrogryposis was adopted from abroad, having had previous clubfoot surgery. She presented with clubfoot relapses, severe hip contractures, and 70–90° knee flexion contractures. Her clubfoot deformities were treated solely by serial casting and percutaneous Achilles tenotomies. Her multiplanar hip contractures were corrected by proximal femoral reorientational osteotomies (described for the first time in print in this chapter). Her knees were then straightened by posterior knee releases and application of knee spanning Ilizarov external fixators. At 7 years of age, she became an independent ambulatory in below-knee braces.