valgus osteotomy

ORIF displaced in young

Indications

 

< 60 with good bone stock and preserved joint space

 

Reduction

 

Union rates increased with anatomical reduction

 

Options

- closed reduction

- open reduction / if closed reduction fails

 

Accept

- no varus

- < 15o valgus

- < 10o AP plane

 

Spondyloepiphyseal dysplasia (SED)

Engelmann's Disease

 

Progressive diaphyseal dysplasia

- marked thickening of cortices of long bones

 

Present

 

Young child with gait disturbance and limb pain

 

Clinical

 

Bilateral symmetrical diaphyseal sclerosis of long bones

- Affects endosteal & periosteal new bone

- Metaphysis & epiphysis are normal

 

Skull base sclerotic

- can get blindness and deafness

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