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Genu Varum in Children: Diagnosis and Treatment.
J Am Acad Orthop Surg 1995; 3(6):326-335JA

Abstract

Genu varum is a relatively common finding in children. Physiologic bowing, which is seen most often, has a well-documented favorable natural history. Idiopathic tibia vara is the most common of the pathologic conditions that are associated with bowed legs; treatment strategies vary with the patient's age and the stage of disease and deformity. Genu varum may also accompany systemic conditions, such as achondroplasia, vitamin D-resistant rickets, renal osteodystrophy, and osteogenesis imperfecta-all of which can result in short stature. Indications for intervention are not always well defined. A rare disorder, focal fibrocartilaginous dysplasia, usually requires no treatment. Standing radiographs of the entire lower limbs are necessary for surgical planning, as the deformity can sometimes affect the distal femur rather than the proximal tibia. Restoration of the mechanical axis of the limb is the principal goal of treatment; the particular type of internal fixation is of secondary importance.

Authors+Show Affiliations

Department of Orthopaedic Surgery, Medical University of South Carolina, Charleston.No affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

10790671

Citation

Brooks, WC, and RH Gross. "Genu Varum in Children: Diagnosis and Treatment." The Journal of the American Academy of Orthopaedic Surgeons, vol. 3, no. 6, 1995, pp. 326-335.
Brooks WC, Gross RH. Genu Varum in Children: Diagnosis and Treatment. J Am Acad Orthop Surg. 1995;3(6):326-335.
Brooks, W. C., & Gross, R. H. (1995). Genu Varum in Children: Diagnosis and Treatment. The Journal of the American Academy of Orthopaedic Surgeons, 3(6), pp. 326-335.
Brooks WC, Gross RH. Genu Varum in Children: Diagnosis and Treatment. J Am Acad Orthop Surg. 1995;3(6):326-335. PubMed PMID: 10790671.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Genu Varum in Children: Diagnosis and Treatment. AU - Brooks,WC, AU - Gross,RH, PY - 1995/11/1/pubmed PY - 2000/5/3/medline PY - 1995/11/1/entrez SP - 326 EP - 335 JF - The Journal of the American Academy of Orthopaedic Surgeons JO - J Am Acad Orthop Surg VL - 3 IS - 6 N2 - Genu varum is a relatively common finding in children. Physiologic bowing, which is seen most often, has a well-documented favorable natural history. Idiopathic tibia vara is the most common of the pathologic conditions that are associated with bowed legs; treatment strategies vary with the patient's age and the stage of disease and deformity. Genu varum may also accompany systemic conditions, such as achondroplasia, vitamin D-resistant rickets, renal osteodystrophy, and osteogenesis imperfecta-all of which can result in short stature. Indications for intervention are not always well defined. A rare disorder, focal fibrocartilaginous dysplasia, usually requires no treatment. Standing radiographs of the entire lower limbs are necessary for surgical planning, as the deformity can sometimes affect the distal femur rather than the proximal tibia. Restoration of the mechanical axis of the limb is the principal goal of treatment; the particular type of internal fixation is of secondary importance. SN - 1940-5480 UR - https://www.unboundmedicine.com/medline/citation/10790671/Genu_Varum_in_Children:_Diagnosis_and_Treatment_ L2 - http://dx.doi.org/10.5435/00124635-199511000-00003 DB - PRIME DP - Unbound Medicine ER -