Both congenital femoral deficiency (CFD) and Fibular hemimelia can be addressed using reconstructive surgeries of the hip, knee, and ankle. These procedures can be referred to as SUPER Knee, SUPER Hip and SUPER Ankle surgeries. SUPER is an acronym for Systematic Utilitarian Procedure for Extremity Reconstruction. These surgeries work to reconstruct soft tissue, realign bone, and correct contractures prior to proceeding with limb lengthening surgeries. In most cases it is preferred that patients be between the ages of 2-4, however surgery can be performed as late as adulthood as well.