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Congenital coxa vara is usually bilateral and occurs due to failure of ossication in the posteromedial part of the femoral neck. Infants usually present with waddling gait similar to hip dislocation.
Unilateral coxa vara
Hilgenreiner-Epiphyseal index: increasing slope more than 45 degrees indicates progression.
As the epiphyseal slope increases, the varus deformity becomes progressive
Correction of coxa vara by Subtrochanteric valgus osteotomy. Aim is to restore neck-shaft angle to 135 degrees.
Dr. Atul Bhaskar, one of the prominent Paediatric Orthopaedic Surgeon in India has graduated from Seth G S Medical College, Mumbai. After doing his M.S (Orth) from K.E.M. Hospital, he pursued further training in the United Kingdom. He was on the “Yorkshire Orthopaedic Training Program” and obtained his orthopaedic fellowship, FRCS (Orth) and Surgical fellowship, FRCS (Glasgow) degrees. He has received the M.Ch Orth form Liverpool.
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