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Genu varum

Salih Marangoz, Kadir Buyukdogan, Sevilay Karahan
OBJECTIVES: It is known that the screws of the eight-plate hemiepiphysiodesis construct diverge as growth occurs through the physis. Our objective was to investigate whether there is a correlation between the amount of change of the joint orientation angle (JOA) and that of the interscrew angle (ISA) of the eight-plate hemiepiphysiodesis construct before and after correction. PATIENTS AND METHODS: After the institutional review board approval, medical charts and X-rays of all patients operated for either genu valgum or genu varum with eight-plate hemiepiphysiodesis were analyzed retrospectively...
December 29, 2016: Acta Orthopaedica et Traumatologica Turcica
Hong-Tao Xu, Jiang-Tao Dong, Juan Wang, Shi-Jun Gao
Total knee arthroplasty (TKA) without soft tissue balance can create a balanced knee to a mechanical axis of near neutral with bone cuts, and remove osteophytes thoroughly. In this study, the authors present detailed steps for performing TKA. The attached video demonstrates the TKA procedure. The patient is a 77-year-old man who had suffered from knee pain for 12 years. Physical examination showed the Apley test to be positive and that the range of motion (ROM) decreased. An X-ray filmed at the positive lateral of the knee joint and the double lower extremity revealed a progression of degenerative osteoarthritis with genu varum...
November 2016: Orthopaedic Surgery
Félix Muñoz-Guerrero, Adrián Antonio Muñoz-Solís, José Manuel Ornelas-Aguirre
INTRODUCTION: Aplasia cutis congenita (ACC) is a skin condition of rare presentation, this disease is characterized by absence of skin at birth and associated with facial, skin and bone skull deformities. The diagnosis is mainly clinical. CASE REPORT: Male 5 days after birth, unique product of primigravida mother and no family history of relevance. Physical examination revealed bilateral and symmetrical skin defects of both lower extremities, the disease is characterized by skin fragility, scabs, and coated pseudomembrane ulcers, decreased interdigital space between toes of the left foot, retraction of the foot and genu varum...
December 12, 2016: Cirugia y Cirujanos
Patrice Rougier, Etienne Cusin
OBJECTIVE: Using unloader knee braces with 3-point pressure in knee osteoarthritis patients is debated. The main reason is discomfort resulting in poor compliance. Studying the external knee adduction moment (EKAM) curve, gold standard in the medial knee load estimation, should be helpful to reduce this discomfort. Reducing constraint solely during the stance phase of gait (combined with an inactivation during large knee flexion) should indeed considerably improve comfort. Thus, the objective of this study was to validate both a method for measuring dynamic activity of new unloader knee braces and to highlight the biomechanical effectiveness of these orthoses...
September 2016: Annals of Physical and Rehabilitation Medicine
D Saragaglia, B Chedal-Bornu, R C Rouchy, B Rubens-Duval, R Mader, R Pailhé
PURPOSE: The goal of this article is to present our experience on navigation for osteotomies around the knee and especially osteotomies for coronal deformities. The first computer-assisted osteotomy was performed in March 2001 and since that time more than 1000 osteotomies have been performed in our department. METHODS: All the osteotomies were performed with the Orthopilot(®) device (B-Braun-Aesculap, Tuttlingen, Germany). The main indication was for genu varum deformities but several cases were operated for genu valgum...
November 2016: Knee Surgery, Sports Traumatology, Arthroscopy: Official Journal of the ESSKA
Sebastian Farr, Hamza M Alrabai, Elisabeth Meizer, Rudolf Ganger, Christof Radler
BACKGROUND: Despite the popularity of tension band plating (TBP) current literature lacks clinical data concerning recurrence ("rebound") of frontal plane malalignment. This study investigated the rebound phenomenon after TBP in idiopathic genu varum/valgum deformities. We analyzed factors that may contribute to the development of rebound after removal of TBP. METHODS: Patients who had correction of idiopathic valgus or varus deformities by TBP at the distal femoral and/or proximal tibial growth plate were selected from a prospective consecutive database...
August 29, 2016: Journal of Pediatric Orthopedics
Erin FitzGerald Alaia, Christopher J Burke, Michael J Alaia, Eric J Strauss, Gina A Ciavarra, Ignacio Rossi, Zehava Sadka Rosenberg
OBJECTIVE: To describe the post-surgical imaging appearance and complications of high tibial osteotomy in patients with the iBalance implant system (iHTO; Arthrex, Naples, FL, USA). MATERIALS AND METHODS: Retrospective, institutional review board-approved, Health Insurance Portability and Accountability Act-compliant review of imaging after 24 iBalance procedures was performed with attention to: correction of varus malalignment, healing at the osteotomy site, resorption of the osteoinductive compound, and complications...
January 2017: Skeletal Radiology
Kai-Yu Ho, Alexa Standerfer, Suzenna Ngo, Karen Daun, Szu-Ping Lee
BACKGROUND: Although it is believed that genu varum increases loading on the medial knee during locomotion, the acute effect of increased loading on bone stress has not been determined. This study aimed to examine the effects of locomotion and lower extremity alignment on bone water content in middle-aged adults without knee osteoarthritis. METHODS: Five males and 5 females participated. Lower extremity alignment was defined as the angle between the midpoint of the anterior mid-thigh and the midpoint of the patellar tendon using the center of the patella as the fulcrum...
August 2016: Clinical Biomechanics
Barakat Sayed El-Alfy
BACKGROUND: Angular deformity around the knee joint is a common orthopedic problem. Many options are available for the management of such problem with varying degrees of success and failure. The aim of the present study was to assess the results of hemi-wedge osteotomy in the management of big angular deformities about the knee joint. MATERIALS AND METHODS: Twenty-eight limbs in 21 patients with large angular deformities around the knee joint were treated by the hemi-wedge osteotomy technique...
August 2016: European Journal of Orthopaedic Surgery & Traumatology: Orthopédie Traumatologie
Muayad Kadhim, Ahmed I Hammouda, John E Herzenberg
PURPOSE: Growth modulation with tension band plates (TBPs) and cannulated screws is the current mainstay of treatment for pediatric lower extremity angular deformities. Solid screws have been used as an alternative to cannulated screws to decrease the risk of screw failure, particularly in obese children. The downside of solid screws is the decrease in precision of placement. This study describes a surgical technique to insert solid TBP screws accurately. METHODS: TBP insertion starts with the same conventional steps by inserting the guidewires into the epiphysis and metaphysis, straddling the physis...
August 2016: Journal of Children's Orthopaedics
Laughter Lisenda, Dina Simmons, Gregory B Firth, Yammesh Ramguthy, Thandrayen Kebashni, Anthony J F Robertson
INTRODUCTION: Blount disease can be defined as idiopathic proximal tibial vara. Several etiologies including the mechanical theory have been described. Obesity is the only causative factor proven to be associated with Blount disease. The aim of this study is to assess if there is an association of vitamin D deficiency and Blount disease. METHODS: This a retrospective study of preoperative and postoperative patients with Blount disease who were screened for vitamin D deficiency...
July 2016: Journal of Pediatric Orthopedics
Tarun Chabra, Pranjal Tahbildar, Ayush Sharma, Sushanta Boruah, Rajat Mahajan, Amrut Raje
INTRODUCTION: The present study was undertaken to find out the prevalence of skeletal deformity due to nutritional rickets in children aged 1-18 years in tea garden community in Dibrugarh District of Assam. METHODOLOGY: It was a cross-sectional study and two-stage cluster sampling was used. In the selected tea gardens, all the children aged 1-18 years were screened for skeletal deformity by house-to-house visit. RESULTS AND OBSERVATIONS: The overall prevalence of skeletal deformity was 2...
April 2016: Journal of Clinical Orthopaedics and Trauma
Daniel G Hoernschemeyer, Alfred Atanda, Ellen Dean-Davis, Sumit K Gupta
Achondroplasia is the most common skeletal dysplasia. This form of dwarfism is caused by a point mutation in the fibroblast growth factor receptor 3 (FGFR3) gene, leading to inhibition of endochondral ossification for these patients. This results in a normal trunk height but shortened limbs. The discoid meniscus may be an important associated finding to better understand the common complaints of leg pain for these patients. Although the incidence for a discoid meniscus is between 3% and 5% for the general population, it is unknown with achondroplasia...
May 1, 2016: Orthopedics
Kyungjei Woo, Yeong Seok Lee, Won-Yung Lee, Jong Sup Shim
BACKGROUND: Percutaneous lateral hemiepiphysiodesis of the lower extremity is a simple and excellent method to correct the angular and length problems cosmetically. However, the efficacy of percutaneous lateral hemiepiphysiodesis is not well established in the literature. The purpose of this study was to evaluate the efficacy of percutaneous lateral hemiepiphysiodesis for angular corrections in adolescent idiopathic genu varum patients with proximal tibia vara and identify the factors affecting the amount of deformity correction of the lower limb in the coronal plane...
March 2016: Clinics in Orthopedic Surgery
S Hoffmann, R Stücker, M Rupprecht
Overweight and obesity in children and adolescents is a growing problem with an increasing number of patients presenting with comorbidities to pediatricians and orthopedic surgeons. This overview summarizes the most common orthopedic problems in overweight children and obesity and highlights the treatment options in addition to weight reduction and physiotherapy leaded activation. In early infancy a persitent genu varum may be seen as a sign of Blount disease. In the school ages flat feet or persistent knock-knees has a higher incidence in overweight children...
March 2016: Klinische Pädiatrie
Liliana Quaresma, Juan Gonçalves, Paula Estanqueiro, Manuel Salgado
We report an unusual case of recurrent fever, inflammatory knee pain, genu varum, persistent anemia, and high erythrocyte sedimentation rate in a 28-month-old boy as late manifestations of congenital syphilis (CS). Despite standard penicillin treatment at the end of the first month of life, it recurred later in life, more than once. In the first relapse, manifested by a likely gumma lesion, the prior penicillin treatment plus a negative venereal disease research laboratory result unduly led to exclusion of CS...
December 2015: Journal of Clinical Rheumatology: Practical Reports on Rheumatic & Musculoskeletal Diseases
Abdelhakim Kherfani, Khalil Amri, Hachem Mahjoub, Ali Ben Hassine, Mohamed Hedi Meherzi, Mondher Mestiri
BACKGROUND: Total knee arthroplasty on excessive genu varum is a more demanding technique and gives worst results than procedures on moderate deformations. It remains a subject of controversies due to the lack of consensus. The purpose of our study is to evaluate the results of total knee arthroplasty (TKA) on excessive genu varum (superior to 20°) by analyzing pre and post operative clinical and radiological parameters. METHODS: We reviewed retrospectively 40 TKA in 33 patients (seven patients operated bilaterally) performed for genu varum superior to 20° between 2004 and 2011...
May 2015: La Tunisie Médicale
G V D'yachkova, N V Sazonova, T A Larionova, K A D'yachkov
OBJECTIVE: to investigate the quantitative X-ray manifestations of gonarthrosis in patients in different age groups. MATERIAL AND METHODS: The results of radiography, computed tomography, and 64-slice multidetector computed tomography (MDCT) were analyzed in 86 patients aged 18 to 70 years with arthrosis deformans of the knee. RESULTS: Knee radiographic anatomic changes in arthrosis deformans are accompanied by the characteristic rearrangement of the femoral and tibial condyles...
July 2015: Vestnik Rentgenologii i Radiologii
Seol Park, Jun-Sub Chung, Yong-Soo Kong, Yu-Min Ko, Ji-Won Park
[Purpose] We investigated the difference in onset time between the vastus medialis and lateralis according to knee alignment during stair ascent and descent to examine the effects of knee alignment on the quadriceps during stair stepping. [Subjects] Fifty-two adults (20 with genu varum, 12 with genu valgum, and 20 controls) were enrolled. Subjects with > 4 cm between the medial epicondyles of the knees were placed in the genu varum group, whereas subjects with > 4 cm between the medial malleolus of the ankle were placed in the genu valgum group...
September 2015: Journal of Physical Therapy Science
Shih-Jie Lin, Chien-Ying Lee, Kuo-Chin Huang, Kuo-Ti Peng, Tsan-Wen Huang, Mel S Lee, Robert Wen-Wei Hsu, Wun-Jer Shen
BACKGROUND: Accurate femoral rotational alignment is of vital importance for successful total knee arthroplasty (TKA). The value of computer-assisted surgery TKA (CAS-TKA) in increasing the accuracy of femoral rotational alignment remains controversial. We hypothesize that outcomes are related to the severity of preoperative varus and valgus deformity and that CAS-TKA may be beneficial under certain circumstances. METHODS: Between January 2007 and December 2013, patients with osteoarthritis and varus angulation in the mechanical axis (MA) ≥ 15° and valgus angulation in the MA ≥ 10° (based on hip-to-ankle standing radiography) who underwent TKA were divided into four groups...
September 2, 2015: Journal of Orthopaedic Surgery and Research
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