Brueton Richard N
Royal Free Hospital, London, UK.
Trop Doct. 2006 Apr;36(2):122-5. doi: 10.1258/004947506776593486.
The aetiology of 35 Malawian children with angular deformities of the lower limb, including 18 with varus,13 with valgus and four with windswept deformities, was assessed prior to surgical correction by proximal tibial or distal femoral osteotomies. Among the varus limbs, the aetiologies were ligamentous laxity of the knee (7), lesions of the medial tibial metaphysis (3), bowing of the femora and tibiae (3), and there were two girls with the end stage of Blount's disease. Among the valgus patients, eight had extremes of physiological knock knee and five had valgus bowing of the femora or tibiae.
对35名患有下肢成角畸形的马拉维儿童的病因进行了评估,这些儿童包括18名内翻畸形、13名外翻畸形和4名风吹样畸形,在通过胫骨近端或股骨远端截骨术进行手术矫正之前进行了评估。在内翻肢体中,病因包括膝关节韧带松弛(7例)、胫骨近端干骺端病变(3例)、股骨和胫骨弓形弯曲(3例),还有两名女孩处于布朗特病终末期。在外翻患者中,8例有极度生理性膝外翻,5例有股骨或胫骨外翻弓形弯曲。