Attempt correction of foot abnormalities with ankle-foot orthosis. Plantar fasciotomy, tendon transfers or other bony procedures may be needed for more severe cases. Hip dysplasia usually diagnosed late and often requires surgery. Scoliosis can usually be managed with orthosis. When correction of deformities can no longer be controlled by bracing, surgery is indicated.
Bone grafting is needed.
Surgery is sometimes technically demanding due to the need to preserve or reconstruct the nearby joint surface. Wide surgical resection is the immediate goal for chondrosarcoma. For Grade I or II histologic lesions, resection and serial 6 month observation is all that is necessary. With Grade III tumors, radiation is occasionally used. Also, most clavicle fractures do not require reduction manuvers.