Genoa vara

Under construction / Forgotten

This article was marked by its author as Under construction, but the last edit is older than 30 days. If you want to edit this page, please try to contact its author first (you fill find him in the history). Watch the discussion as well. If the author will not continue in work, remove the template {{Under construction}} and edit the page. Last update: Wednesday, 08 Nov 2023 at 9.51 pm.

This article has been translated from WikiSkripta; ready for the editor's review.

X-ray image of genua vara in rickets

Genua vara ( bent knees ) represent a very common deformity of childhood. They are normal in newborns. When the child begins to walk, the deformity becomes even more pronounced.

Etiology

• Rickets,
• conditions after fractures, inflammation and paralysis, Arthritis,
• Blount's disease – avascular necrosis of the medial part of the proximal metaphysis of the tibia.
• Fibrocartilaginous dysplasia ( unilateral ),
• deforming arthrosis ( adults ).

Clinical manifestations

• while standing upright, feet and ankles together, knees apart → "legs in O" .

Size rating

• intercondylar distance,

• the angle between the longitudinal axes of the Femur and lower leg.

Therapy

In children up to 2-3 years of age, the varus position of the knees is considered physiological. The adjustment usually occurs spontaneously.

For more severe deformities (intercondylar laxity around 10 cm), the boots are adjusted (increasing the outer edge of the sole). Night correction splints are applied to sleep.

In adulthood, a corrective osteotomy of the tibia can be performed to align the axis of the lower limb.

Links

Related Articles

• Genoa valga
• Turner Syndrome

References

• SOSNA, A – VAVŘÍK, P – KRBEC, M, et al. Základy ortopedie. 1. edition. Praha : Triton, 2001. 175 pp. ISBN 80-7254-202-8.

• DUNGL, P, et al. Ortopedie. 1. edition. Praha : Grada Publishing, 2005. 1273 pp. ISBN 80-247-0550-8.