Successfully reported this slideshow.
We use your LinkedIn profile and activity data to personalize ads and to show you more relevant ads. You can change your ad preferences anytime.
COXA VARA 
GENU VARUM 
GENU VALGUM 
Dr.V.Sarthy 
Asst Professor 
Dept of Orthopaedics 
SSSMCRI
Parts Of a Bone 
epiphysis
Growing Bone
Growth plate
Growing Bone
Describing deformities…. 
Coxa. 
Genu. 
Cubitus. 
Hallux. 
Mannus. 
Talipes. 
Pes. 
Etc….
Varus & Valgus
In relation of the DISTAL, part to the MID-LINE
Genu
Genu
Coxa
Cubitus 
NORMAL VALGUS VARUS
Heel.
Hallux.
Coxa Vara 
•The normal femoral neck–shaft angle is 160 
degrees at birth, decreasing to 125 degrees in 
adult life. An ang...
COXA VARA 
CONGENITAL ACQUIRED 
• Defect of endochondral 
ossification in the medial part of 
the femoral neck. 
• Coxa va...
Congenital Coxa Vara.
Management. 
• H-E Angle 40 – 60 degree : OBSERVE 
• >60 degree : Corrective VALGUS Osteotomy.
Acquired Coxa Vara. 
In Children: Adults/ Any age: 
•Rickets. 
•Osteo Dystrophies. 
•Perthes Disease. 
•Epiphyseolysis. 
•...
Treatment. 
• Only if there is MARKED Shortening. 
• Corrective Osteotomy.
Genu Varum & Genu Valgum 
Knock Knees Bow Legs
BOW LEGS AND KNOCK KNEES IN CHILDREN 
•Physiological bow legs and knock knees: 
• Bow legs in babies and knock knees in 4-...
Physiological – Most of the time.
When to Worry? 
• In the occasional case where, by the age of 10, the 
deformity is still marked 
• - (i.e. the intercondy...
What to Measure: 
Inter Malleolar Distance. 
(< 8 cm) 
Inter Condylar Distance. 
(< 6 cm)
How to Treat? 
•Hemi Epiphyseodesis. 
• Stapling. 
• Corrective Osteotomy. 
• Distal Femoral 
• Proximal Tibial.
Pathological Bow leg & Knock Knee. 
Disorders which cause distorted epiphyseal and/or 
physeal growth may give rise to bow...
Management. 
• Treat the Primary cause if possible. 
• If angulation is severe, operative correction will be 
necessary, b...
Corrective Osteotomy.
Blounts Disease. 
• This is a progressive bow-leg deformity 
associated with abnormal growth of the 
posteromedial part of...
Pathology.
Clinical Features: 
•Over Weight Children. 
• Early Walkers. 
• Common among Negroid Children. 
•Bilateral in 80%
X-Ray. 
Metaphyseo – Diaphyseal Angle < 11 degrees - Normally)
Management. 
• Progressing Deformity: 
• Surgical Correction: 
1. Corrective Osteotomy. 
2. Elevation of the Epiphysis. 
3...
Osteotomy & Epiphyseal Elevation.
Osteotomy, Epiphyseal Elevation.
Genu Varum & Valgum in Adults. 
• Sequel to childhood deformities. 
• Secondary to: 
• Arthritis. 
• Ligamentous Injuries....
Management. 
•With No Associated Arthritis: 
Corrective Osteotomy. 
•Uni Compartmental Arthritis: 
• Corrective Osteotomy ...
What is this?
Thank You.
Coxa Vara, Genu VArum & Valgum. Under Gradts.
Upcoming SlideShare
Loading in …5
×

Coxa Vara, Genu VArum & Valgum. Under Gradts.

47,816 views

Published on

Coxa Vara, Genu Varum, Genu Valgum.
Under Gradts.

Published in: Health & Medicine
  • Follow the link, new dating source: ❤❤❤ http://bit.ly/2Qu6Caa ❤❤❤
       Reply 
    Are you sure you want to  Yes  No
    Your message goes here
  • Dating direct: ♥♥♥ http://bit.ly/2Qu6Caa ♥♥♥
       Reply 
    Are you sure you want to  Yes  No
    Your message goes here
  • -- DOWNLOAD THIS BOOKS INTO AVAILABLE FORMAT -- ......................................................................................................................... ......................................................................................................................... Download FULL PDF EBOOK here { http://bit.ly/2m77EgH } ......................................................................................................................... (Unlimited)
       Reply 
    Are you sure you want to  Yes  No
    Your message goes here
  • DOWNLOAD FULL BOOKS, INTO AVAILABLE Format, ......................................................................................................................... ......................................................................................................................... 1.DOWNLOAD FULL. PDF EBOOK here { https://tinyurl.com/y6a5rkg5 } ......................................................................................................................... 1.DOWNLOAD FULL. EPUB Ebook here { https://tinyurl.com/y6a5rkg5 } ......................................................................................................................... 1.DOWNLOAD FULL. doc Ebook here { https://tinyurl.com/y6a5rkg5 } ......................................................................................................................... 1.DOWNLOAD FULL. PDF EBOOK here { https://tinyurl.com/y6a5rkg5 } ......................................................................................................................... 1.DOWNLOAD FULL. EPUB Ebook here { https://tinyurl.com/y6a5rkg5 } ......................................................................................................................... 1.DOWNLOAD FULL. doc Ebook here { https://tinyurl.com/y6a5rkg5 } ......................................................................................................................... ......................................................................................................................... ......................................................................................................................... .............. Browse by Genre Available eBooks ......................................................................................................................... Art, Biography, Business, Chick Lit, Children's, Christian, Classics, Comics, Contemporary, Cookbooks, Crime, Ebooks, Fantasy, Fiction, Graphic Novels, Historical Fiction, History, Horror, Humor And Comedy, Manga, Memoir, Music, Mystery, Non Fiction, Paranormal, Philosophy, Poetry, Psychology, Religion, Romance, Science, Science Fiction, Self Help, Suspense, Spirituality, Sports, Thriller, Travel, Young Adult,
       Reply 
    Are you sure you want to  Yes  No
    Your message goes here

Coxa Vara, Genu VArum & Valgum. Under Gradts.

  1. 1. COXA VARA GENU VARUM GENU VALGUM Dr.V.Sarthy Asst Professor Dept of Orthopaedics SSSMCRI
  2. 2. Parts Of a Bone epiphysis
  3. 3. Growing Bone
  4. 4. Growth plate
  5. 5. Growing Bone
  6. 6. Describing deformities…. Coxa. Genu. Cubitus. Hallux. Mannus. Talipes. Pes. Etc….
  7. 7. Varus & Valgus
  8. 8. In relation of the DISTAL, part to the MID-LINE
  9. 9. Genu
  10. 10. Genu
  11. 11. Coxa
  12. 12. Cubitus NORMAL VALGUS VARUS
  13. 13. Heel.
  14. 14. Hallux.
  15. 15. Coxa Vara •The normal femoral neck–shaft angle is 160 degrees at birth, decreasing to 125 degrees in adult life. An angle of less than 120 degrees is called coxa vara.
  16. 16. COXA VARA CONGENITAL ACQUIRED • Defect of endochondral ossification in the medial part of the femoral neck. • Coxa vara can develop if the femoral neck bends or if it breaks.
  17. 17. Congenital Coxa Vara.
  18. 18. Management. • H-E Angle 40 – 60 degree : OBSERVE • >60 degree : Corrective VALGUS Osteotomy.
  19. 19. Acquired Coxa Vara. In Children: Adults/ Any age: •Rickets. •Osteo Dystrophies. •Perthes Disease. •Epiphyseolysis. •Osteomalacia. •Fibrous Dysplasia. •Infection. •Tumor. •Pagets Disease. •Pathological Fracture. •Fracture Malunion.
  20. 20. Treatment. • Only if there is MARKED Shortening. • Corrective Osteotomy.
  21. 21. Genu Varum & Genu Valgum Knock Knees Bow Legs
  22. 22. BOW LEGS AND KNOCK KNEES IN CHILDREN •Physiological bow legs and knock knees: • Bow legs in babies and knock knees in 4-year-olds are so common that they are considered to be normal stages of development.
  23. 23. Physiological – Most of the time.
  24. 24. When to Worry? • In the occasional case where, by the age of 10, the deformity is still marked • - (i.e. the intercondylar distance is more than 6 cm or the intermalleolar distance more than 8 cm), operative correction should be advised.
  25. 25. What to Measure: Inter Malleolar Distance. (< 8 cm) Inter Condylar Distance. (< 6 cm)
  26. 26. How to Treat? •Hemi Epiphyseodesis. • Stapling. • Corrective Osteotomy. • Distal Femoral • Proximal Tibial.
  27. 27. Pathological Bow leg & Knock Knee. Disorders which cause distorted epiphyseal and/or physeal growth may give rise to bow leg or knock knee: • Skeletal dysplasias. • The various types of Rickets. • Injuries of the epiphyseal and physeal growth cartilage.
  28. 28. Management. • Treat the Primary cause if possible. • If angulation is severe, operative correction will be necessary, but it should be deferred until near the end of growth lest the deformity recur with further growth.
  29. 29. Corrective Osteotomy.
  30. 30. Blounts Disease. • This is a progressive bow-leg deformity associated with abnormal growth of the posteromedial part of the proximal tibia.
  31. 31. Pathology.
  32. 32. Clinical Features: •Over Weight Children. • Early Walkers. • Common among Negroid Children. •Bilateral in 80%
  33. 33. X-Ray. Metaphyseo – Diaphyseal Angle < 11 degrees - Normally)
  34. 34. Management. • Progressing Deformity: • Surgical Correction: 1. Corrective Osteotomy. 2. Elevation of the Epiphysis. 3. Excision of the bony bar & Fat pad placement. 4. Always perform a Fasciotomy to avoid Compartment Syndrome. 5. If Shortening ensues- Perform Lengthening at a later stage.
  35. 35. Osteotomy & Epiphyseal Elevation.
  36. 36. Osteotomy, Epiphyseal Elevation.
  37. 37. Genu Varum & Valgum in Adults. • Sequel to childhood deformities. • Secondary to: • Arthritis. • Ligamentous Injuries. • Fractures. • Pagets Disease.
  38. 38. Management. •With No Associated Arthritis: Corrective Osteotomy. •Uni Compartmental Arthritis: • Corrective Osteotomy or Partial Joint Replacement. •Bi Comparmenntal Arthritis: • Total Joint Replacement.
  39. 39. What is this?
  40. 40. Thank You.

×