Congenital coxa vara is treated by:
CONGENITAL COXA VARA Clinical Presentation Painless limp in a child who has just staed walking Shoening-Limitation of abduction and internal rotation Radiological Reduced neck shaft angle (varus) Veical epiphysis plate Separate triangle of bone in infero-medial pa of metaphysis called as Fairbank's triangle Treatment depend upon HE angle if:- Angle 40o -60o = Observation >60o or if shoening is progressive = subtrochanteric osteotomy. Hilgenreiner's epiphyseal angle: angle between horizontal line joining center (triradiate cailage) of each hip (Hilgenreiner's line) and line parallel to physis; the normal angle is about 30 degrees.
Fixation by SP Nail
Osteotomy
Bone grafting
Traction
Pediatric Ohopedics