Varus supracondylar osteotomy of the femur is the established procedure for treating painful knees that present lateral arthrosis and valgus deformity. In descriptions of the conventional surgical techniques, there are divergences regarding the location, access route, correction level, fixation type and area for synthesis insertion. This is most evident in cases of severe valgus with angles gre...

It is well known that the physiological alignment of the lower limbs changes during the first years of life. Mild to moderate bowlegs in newborns and knock-knees in early childhood are well-defined and quite common orthopaedic problems. The established reference values of paediatric lower limb alignment are based on clinical or/and radiographic measurements of the tibiofemoral (TF) angle and th...

Background Foot and lower limb postures are a common parental concern, and present frequently to a range of clinicians. Referral of children with flatfeet, intoed gait, or knockknees that is within normal developmental limits has been reported as approximating 40%. This represents a substantial and unnecessary cost to any health care system. The dilemma for caring clinicians is that each of the...

PURPOSE To describe a technique that preserves anterior and posterior alternate ledges in a closing wedge osteotomy. METHODS Five patients aged 14 to 19 years underwent a closing wedge osteotomy for genu valgum in 8 limbs using a reciprocating ledge technique. A unicortical wedge of bone was removed, with the anterior and posterior cortices spared. The anterior cortex at the proximal level an...

BACKGROUND For large scale epidemiological studies clinical assessments and radiographs can be impractical and expensive to apply to more than just a sample of the population examined. The study objectives were to develop and validate two novel instruments for self-reported knee malalignment and foot rotation suitable for use in questionnaire studies of knee pain and osteoarthritis. METHODS T...

PURPOSE OF THE STUDY Hemiepiphyseodesis is commonly used to correct a coronal plane knee deformity during childhood. Since 2007 Blount staple method has been replaced by the eight-Plate Guided Growth System. We retrospectively analysed indications, results and complications of older so as compare them with newer system. MATERIAL AND METHODS In period from 2009 2019, total 98 lower extremities 5...

Varus osteotomy of the distal femur is recommended for osteoarthritis of the knee with significant valgus deformity, but the operation is difficult to plan and perform. A simple technique involving a jig referenced to the line of the tibia is described. This allows accurate overcorrection by a few degrees, with impaction and secure fixation at the osteotomy. It has been successful, with no comp...