Knee Osteoarthritis: Danger Elements Signs Treatment

Pathologic etiologies for genu valgum embrace idiopathic or secondary an infection, trauma, tumor, or metabolic illness. Various surgical treatment choices, together with everlasting epiphysiodesis, osteotomy, and hemiepiphysiodesis, are reviewed. The case presentation of an adolescent with idiopathic genu valgum is mentioned, together with the surgical method for hemiepiphysiodesis of the bilateral distal medial femora and bilateral distal medial tibia. A retrospective evaluation of sufferers who've undergone this procedure is discussed, together with postoperative protocols and preoperative/postoperative scanogram measurements. Standardized radiographs were carried out including weight-bearing anteroposterior and posteroanterior at 0° and 30° of flexion, respectively, weight-bearing lateral at 30°, and bilateral Merchant views.

For medial compartment osteoarthrosis of the knee, closing wedge osteotomy of the tibia, just below the joint surface, is a well-established approach. Alignment of the leg is altered from a 'bow-legged' or varus alignment, aiming for a 'knocked-knee' or accentuated valgus place. The weightbearing forces will preferentially be directed through the preserved lateral compartment. The reverse approach can be used for lateral compartment osteoarthrosis.

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