Infantile Coxa Vara with Superimposed Perthes-Like Change

Familial infantile coxa vara.

Case 1-A man of thirty-six sought advice because he had wrenched his left hip while cycling. He had had previous trouble with his hips from the age of eighteen, but the attacks of pain were infrequent and settled rapidly. He worked as a brewery manager with little difficulty. Four years before he attended he had had a piece of bone removed from the right knee for osteochondritis. Figure 1 shows...

Infantile coxa vara.

Infantile or developmental coxa vara is a relatively infrequent localised dysplasia of unknown etiology which usually presents in the second or third year of life soon after the child begins walking. The clinical and radiological picture is usually characteristic especially when seen early. Early surgery leads to a satisfactory outcome. However, difficulty arises in diagnosis and treatment when...

Observations on infantile coxa vara.

In 1907 Elmslie suggested that in some cases of congenital coxa vara without other abnormalities injury at birth might perhaps be one factor. He described accurately the cervical breach in infantile coxa vara with the typical metaphysial wedge included in the proximal fragment, and pointed out that there was often a clear history of injury. In 1913 he described thirty-four cases of the infantil...

Midterm results after subtrochanteric end-to-side valgization osteotomy in severe infantile coxa vara.

BACKGROUND For the treatment of the severe infantile coxa vara it is mandatory for the orthopaedic surgeon to observe the mechanobiology of the growing hip before and after the surgical intervention. We hereby would like to present our experiences with the subtrochanteric end-to-side valgization osteotomy and to compare the procedure with the alternatively used Y-shaped osteotomy as described b...

Infantile tibia vara.