Tratamento de deformidade em varo dos membros inferiores em acondroplasia

Authors

  • Monica Paschoal Nogueira Hospital do Servidor Estadual de São Paulo
  • Alice Chagas Matos Hospital do Servidor Estadual de São Paulo
  • Alessandro Monterroso Felix Hospital do Servidor Estadual de São Paulo
  • William Martins Ferreira Hospital do Servidor Estadual de São Paulo
  • Guilherme de Paula Nascimento Hospital do Servidor Estadual de São Paulo

Keywords:

Achondroplasia, Genu varum, Short limbs, Hemiepiphyisiodesis, External Fixators

Abstract

The patient reported had achondroplasia, bone dysplasia responsible for the most common form of rhizomelic dwarfism. Among the most common clinical features, shorter limbs with consequent short stature, ligament laxity and angular deformities of the lower limbs, especially genu varum. The aim of this article is to describe the orthopedic treatment for genu varum, including tibial osteotomies and stabilization with circular external fixator for gradual correction of the deformity and bone lengthening, followed by lateral hemiepiphysiodesis of the distal femur and proximal tibia of both limbs and at last, valgus osteotomy of the right distal femur with acute correction and stabilization with monolateral external fixator.

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Author Biographies

Monica Paschoal Nogueira, Hospital do Servidor Estadual de São Paulo

Chefe do Grupo de Ortopedia Infantil e Reconstrução do Serviço de Ortopedia e Traumatologia do HSPE, São Paulo, SP, Brasil

Alice Chagas Matos, Hospital do Servidor Estadual de São Paulo

Residente (R4) do Grupo de Ortopedia Infantil e Reconstrução do Serviço de Ortopedia e Traumatologia do HSPE, São Paulo, SP, Brasil

Alessandro Monterroso Felix, Hospital do Servidor Estadual de São Paulo

Médico Assistente do Grupo de Ortopedia Infantil e Reconstrução do Serviço de Ortopedia e Traumatologia do HSPE, São Paulo, SP, Brasil

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Published

2018-08-09

How to Cite

1.
Nogueira MP, Matos AC, Felix AM, Ferreira WM, Nascimento G de P. Tratamento de deformidade em varo dos membros inferiores em acondroplasia. RTO [Internet]. 2018 Aug. 9 [cited 2024 Sep. 19];18(3):6-12. Available from: https://rto.emnuvens.com.br/revista/article/view/192

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