Diastrophic Dwarfism – is a skeletal dysplasia characterized by scoliosis (abnormal lateral curvature of the spine), hitchhiker thumb due to shortening of the first metacarpal bone, cleft palate, malformed ear with calcification, and clubbed foot. We treat these patients with reconstruction of the hip, knee, and foot. Lengthening is not as common in this group due to the severe joint problems.