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Treatment of varus deformities of the lower limbs in patients with achondroplasia and hypochondroplasia.
[achondroplasia]
Angular
deformities
of
the
lower
limbs
are
a
common
clinical
problem
encountered
in
pediatric
orthopaedic
practices
particularly
in
patients
with
osteochondrodysplasias
.
The
varus
deformity
is
more
common
than
the
valgus
deformity
in
achondroplasia
and
hypochondroplasia
patients
because
of
the
unusual
growth
of
the
fibulae
than
that
of
the
tibiae
.
We
retrospectively
reviewed
six
patients
(
four
patients
with
achondroplasia
and
two
patients
with
hypochondroplsia
)
with
relevant
limb
deformities
due
to
the
above-mentioned
entities
.
All
patients
manifested
significant
varus
deformity
of
the
lower
limbs
.
Detailed
phenotypic
characterization
,
radiologic
and
genetic
testing
was
carried
out
as
baseline
diagnostic
tool
.
We
described
the
re
-alignment
procedures
,
which
have
been
applied
accordingly
.
Therefore
,
bilateral
multi-level
procedures
,
multi-apical
planning
and
limb
lengthening
have
been
successfully
applied
.
While
recognition
of
the
underlying
syndromic
association
in
patients
who
are
manifesting
angular
deformities
is
the
baseline
for
proper
orthopaedic
management
,
this
paper
demonstrates
how
to
evaluate
and
treat
these
complex
patients
.
Diseases
Validation
Diseases presenting
"multi-apical planning and limb lengthening have been successfully applied"
symptom
achondroplasia
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