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Account for the greatest number of referrals (including torsional problems) of children to orthopaedists
Newborn
6 months
18 months
30 months
4-6 years
- Body height and body proportion - Other present deformities - Unilateral or bilateral - Leg length difference
- Asymmetrical deformity
- Progression
- Pain
incorrect
correct
Natural history: benign selfcorrecting deformity Correction devices (twister cables, night splints, shoe wedges) are unnecessary. Anual clinical checks are recommended.
Pathological genu varum / valgum: M. Blount Rickets, Vit.D - resistent rickets, Deformities after infection, trauma, tumor.
Goal:
Physiological deformities are best observed Pathological deformities are treated surgically to achieve straight legs at same length
Mechanical axis
Anatomical axis
Mechanical axis
versus
Femur: difference of 6
Anatomical axis
Tibia: same
Femoral deformity
Tibial deformity
Digital planning
with
TraumaCad program
Digital planning
with
TraumaCad program
Digital planning
with
TraumaCad program
Deformity: 4 Correction: 8.5 With Auto Alignment: MAD 7mm med Individual Alignment: MAD 1mm med
Digital planning
with
TraumaCad program
Digital planning
with
TraumaCad program