Principal Goal Of Treatment Research Articles

Genu Varum in Children: Diagnosis and Treatment.

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.

How I Manage Osteochondritis Dissecans.

In brief: Knee pain and joint effusion are usually among the earliest symptoms of osteochondritis dissecans, a lesion that occurs most often on the articular surfaces of the femoral condyles. It is seen most frequently among active adolescents but can occur in anyone between the ages of 5 and 50. The principal goal of treatment should be to prevent partial or complete detachment of the lesion and alteration in the articular surface leading to degenerative arthrosis. Treatment may be nonoperative or may involve surgery. For treatment purposes, patients are categorized into three groups: children and young adolescents, adolescents and young adults, and adults.