AI Article Synopsis

  • Pediatric orthopedic issues can be complicated because children's bones are still growing, which requires special attention to both structural and functional problems.
  • A case involving a 13-year-old with recurring knee pain related to an early childhood infection resulted in surgery to correct growth-related knee deformities.
  • The successful surgical treatment emphasized the need for comprehensive rehabilitation to strengthen muscles and prevent further complications, showcasing the value of teamwork in managing these cases.

Article Abstract

Background: Pediatric orthopedic conditions present unique challenges due to ongoing skeletal growth and development. Managing these cases requires addressing both structural anomalies and functional deficits.

Care Presentation: This case report discusses a 13-year-old male with recurrent left knee pain exacerbated by physical activity. The patient's history of a left knee infection at 1.5 years of age, possibly septic arthritis or osteomyelitis, underscores the long-term consequences of early pathology on skeletal growth and alignment. Imaging studies revealed a distal lateral femur physis bar and genu valgum, necessitating surgical intervention.

Management And Outcomes: The surgery involved medial distal femur hemiepiphysiodesis and lateral distal femur bar excision to correct anatomical deformities and restore optimal limb alignment and function. Postoperative rehabilitation, including targeted exercises to improve quadriceps strength, was crucial for functional recovery and reducing the risk of complications such as medial patellofemoral pain.

Conclusion: This case highlights the importance of a multidisciplinary approach in managing complex pediatric orthopedic cases.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC11299899PMC
http://dx.doi.org/10.52965/001c.121975DOI Listing

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Article Synopsis
  • This study examined the effectiveness of hemi-epiphysiodesis in treating adolescents with idiopathic genu varum and valgum, focusing on the impact of the distal femur and proximal tibia.
  • Results showed that in the varus group, the proximal tibia contributed significantly to the deformity, while in the valgus group, both the distal femur and the proximal tibia played roles, with distal femur being more prominent.
  • The findings highlight the need for tailored surgical planning based on the specific contributions of these bone areas to effectively address each condition.
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