Genu Valgum Correction
Ladisten offers knock knee / genu valgum correction and treatment by means of knock knee corrective surgery and appliance of Ilizarov-Veklich device.
Knock knees (genu valgum) correction at Ladisten includes:
Minimally invasive surgery allows literally bloodless procedure with no nerve damage or major blood vessels injured.
Perfect cosmetic effect not only legs get straight, but no major scarring remains.
Custom made Veklich devices assure comfort, safety and lowest possibility of bone infection, comparing to other external devices (Ilizarov i.e.) due to their architechture.
Considerably short rehabilitation time. The patient need to stay 2 weeks for rehabilitation in Ladisten and may proceed rehabilitation at home. For non-severe knock-knees rehabilitation takes approx. 3 months
Apart of cosmetic outcome allows prophylaxis of deforming arthrosis.
Micro intrusive approach we use while correction surgery, and following correction of bio mechanic axis that is present while genu valgum can cope with all levels of deformities safely and prevent the need for joint replacement in the future.
After the treatment and rehabilitation in our clinic patients are able to come to sports like running, swimming, etc - everything they got used to before correction.
Please call +380.44.209.8054 today to know how Ladisten clinic can help you with treatment of knock knees or make an appointment online .
To see results of the treatment please visit Photo Gallery .
Please review the list to see what correction of knock knees helped patients to cope with:
Difficulties walking or exercising
Poor self-esteem and inferiority complex due to look of knock kneed legs
Early Arthritis of the knee due to uneven pressure
Knee replacement prevention or postponing
About Knock Knees
In knock knees / (genu valgum) or as also called tibia valga, the lower legs are at an outward angle, such that when the knees are touching, the ankles are separated. Genu is Latin for knee and valgus means bent outwards. There are more terms describing the same condition. You may also hear Genu Valga, Genu Valgum, Genu Valgus, Genua Valga, Genua Valgum, Knee joint valgus deformity and knock-knees.
Tumblr
Genu valgum in kids: What you need to know
We have all seen this. The kid with the awful “knock knees”. It is a Latin word “which means “bent” or “knock kneed”. It appears to have 1 st been used in 1884.
This condition, where the Q angle angle exceeds 15 degrees, usually presents maximally at age 3 and should resolve by age 9. It is usually physiologic in development due to obliquity of the femur, when the medial condyle is lower than the lateral. Normal development and weight bearing lead to an overgrowth of the medial condyle of the femur. This, combined with varying development of the medial and lateral epiphysies of the tibial plateau leads to the valgus development. Gradually, with increased weight bearing, the lateral femoral condyle (and thus the tibial epiphysis) bear more weight and this appears to slow, and eventually reverse the valgum.
Normal knee angulation usually progresses from 10-15 degrees varus at birth to a maximal valgus angle of 10-15 degrees at 3-3.5 years (see picture). The valgus usually decreases to an adult angle of 5-7 degrees. Remember that in women, the Q angle should be less than 22 degrees with the knee in extension and in men, less than 18 degrees. It is measured by measuring the angle between the line drawn from the ASIS to the center of the patella and one from the center of the patella through the tibial tuberosty, while the leg is extended.
Further evaluation of a child is probably indicated if:
The angle is greater than 2 standard devaitions for their age (see chart)
If their height is 25 th percentile
If it is increasing in severity
If it is developing asymmetrically
Management is by serial measurement of the intermalleolar distance (the distance between ankles when the child’s knee are placed together) to document gradual spontaneous resolution (hopefully). If physiologic genu valgum persists beyond 7-8 years of age, an orthopaedic referral would be indicated but certainly intervention with attempts at corrective exercises and gait therapy should be employed. Persistence in the adult can cause a myriad of gait, foot, patello femoral and hip disorders, and that is the topic on another post.
Promotion of good foot biomechanics through the use of minimally supportive shoes, encouraging walking on sand (time to take that trip to the beach!), walking on uneven surfaces (like rocks, dirt and gravel), gentle massage (to promote muscle facilitation for those muscles which test weak (origin/insertion work) and circulation), gait therapeutic exercises and acupuncture when indicated, can all be helpful.
Ivo and Shawn… The Gait Guys…Promoting foot and gait literacy for everyone.
Knock Kneed Children
Click for pdf: Knock Kneed Children
General Presentation
Genu valgrum or knocked knee is a condition in which the lower legs are positioned at an outward angle when the knees are touching. Conversely, genu varus or bowlegs is a condition in which the knees remain wide apart when a person stands with the feet and ankles together.
Many infants have bilateral symmetric bowing of the legs (genu varum), which may persist in the first 1-2 years of walking before developing into an exaggerated knock-kneed condition. This transition from genu varum to genu valgus may be caused by the widening pelvis. The knock-knee is most dramatic at 3-6 years of age when it is known as physiologic genu valgum . At this time, the anatomic angle may be as high as 15 degree of valgus (a deformity in which an anatomical part is turned outward away from the midline of the body to an abnormal degree). Under normal development, the genu valgum then gradually remodels spontaneously to the adult average of 5-7 degrees of the valgus. By puberty, most children can stand with knees and ankles touching (without forcing the position).
Questions to Ask
Table 1 includes important aspects of the history to obtain when evaluating a child with a lower extremity problem.
Table 1 . History taking in Child with Lower Extremity Problems.
Комментариев нет:
Отправить комментарий