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Although there is no cure, surgery is sometimes used to relieve symptoms. [18] Surgery may be necessary to treat misalignment of the hip (osteotomy of the pelvis or the collum femoris) and, in some cases, malformation (e.g., genu varum or genu valgum). [19] In some cases, total hip replacement may be necessary.
Genu varum (also called bow-leggedness, bandiness, bandy-leg, and tibia vara) is a varus deformity marked by (outward) bowing at the knee, which means that the lower leg is angled inward in relation to the thigh's axis, giving the limb overall the appearance of an archer's bow.
It is also used to correct a coxa vara, genu valgum, and genu varum. The operation is done under a general anaesthetic. [1] Osteotomy is one method to relieve pain of arthritis, especially of the hip and knee. It is being replaced by joint replacement in the older patient. [2] Due to the serious nature of this procedure, recovery may be extensive.
Occasionally surgery is needed to correct severe and persistent deformities of the lower limbs, especially around the knees namely genu varum and genu valgum. Surgical correction of rachitic deformities can be achieved through osteotomies or guided growth surgery. Guided growth surgery has almost replaced the use of corrective osteotomies.
A valgus deformity is a condition in which the bone segment distal to a joint is angled outward, that is, angled laterally, away from the body's midline. [1] The opposite deformation, where the twist or angulation is directed medially, toward the center of the body, is called varus.
Blount disease is a growth disorder of the shin bone which causes the lower leg to angle inward, resembling a bowleg.It can present in boys under 4-years in both legs, or in adolescents usually on one side.
Temporary hemiepiphysiodesis is widely used to treat angular or coronal plane deformities around the knee in children i.e. deformities occurring in the medial/lateral plane as genu varum/ genu valgum. Additionally, it has been used to treat sagittal plane deformities i.e. deformities arising the anterior/posterior plane.
Other causes of genu valgum (knock knees) or genu varum (bow legs) such as rickets; Spondyloepiphyseal dysplasia congenita; Radiographic findings of the pelvis and hips found in Perthes disease should not be confused with pseudochondroplasia. Patients with Perthes disease may present with unilateral hip affection.