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Pediatric Ortho/Surg Rehab of the Lower Extremity
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Coxa valga vs. coxa vara
Coxa Valga
: >135 degrees
Coxa Vara
: <120 degrees
SLR
100 @ birth
110 @ 12 months
80 @ 5-6 years
Popliteal angle
180
: birth - 24 months
-24
: 6 years
-40
: significant tightness
Touching Toes
1+/-3cm
<-5cm under 6
<-15 cm older 6, significant tightness
Pelvic Osteotomies
Chiari Pelvic Osteotomy
Salter Innominate Osteotomy
Steele Triple Osteotomy
Femoral Osteotomies: Indications
Restore congruency of dysplastic hip
Decrease pain
Place stress on area of healthier cartilage
(Typically no improvements in ROM)
Tibial Osteotomies: Types and Indications
Close Wedge Osteotomy
Open Wedge Osteotomy
Indications:
→Genu valgum/varus
→Blount's disease
→Pain
Complications: nonunion
Proximal Femoral Derotational Osteotomy: Indications
Excessive femoral anteversion
Coxa valga
Improve gait
Increase hip ER and extension
Increase knee extension
Distal Femoral Varus Osteotomy: Indications
Lateral compartiment OA/RA of knee
Correction of genu valgus associated w/ tibiofemoral angle ≥ and narrowing of lateral joint space
Patellofemoral pain
Improve function
Limb Lengthening: Complications
Infection
Nerve damage
Reconsolidation
Fracture
Pain
Dislocation
Limited functional mobility
Stress on family
Management of the fixator
Ankle/Foot Fusions: Indications
Hyper/hypomobile joints causing increased pain
Typically not performed until teen years
Tenotomies: Indications
Prevent further subluxation or dislocation of the joint
To balance forces around the joint to allow normal development
To improve ROM/improve function
Ankle Tenotomies: Indications
Tight heel cord
Neurogenic
Club foot
Immobility
Muscle Transfers: Indications
Balance foot
Improve control/gait
Improve function
Author
dmshaw9
ID
242388
Card Set
Pediatric Ortho/Surg Rehab of the Lower Extremity
Description
MS1
Updated
2014-02-13T15:59:03Z
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