Techniques for correcting major lower limb deformities. Corrections of lower limb deformities

Lower limb deformities can be simple when there is only one deformity but can be complex when there are up to four deformities in different planes (angulation, rotation, translation, length). The time frame must be considered because the deformities can be progressive in nature or can recur after the first correction attempt. No single strategy is best for a patient. Several strategies can be proposed to achieve the optimal result. However, strict technical specifications must be followed to achieve the desired correction: The end goal is optimal correction with the fewest inconveniences for the patient. If the technical specifications cannot be followed, one should propose the use of orthotics or refer the patient to a team having more experience with these deformities. LEVEL OF EVIDENCE: >V.