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

Type

 

Disproportionate dwarfism with a short trunk

 

Problems with dwarfism, spine, vision and hearing

 

Definition

 

Primary involvement of vertebrae & epiphyseal centres of limbs

 

Resulting short-trunk dwarfism

- Limb are short, but trunk is even shorter

 

(cf Metaphyseal Chondrodysplasia - Short limbed Dwarf)

 

Types