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Paediatric Orthopaedics

Paediatric Lower Limb Deformity Correction

OVERVIEW

Paediatric lower limb deformity correction is a specialized branch of orthopaedic surgery focused on addressing abnormal structural alignments in the lower extremities of children. These deformities may manifest as abnormalities in bone growth, joint alignment, or musculature, leading to conditions that affect a child's gait, function, and overall quality of life.

Types of paediatric lower limb deformity:

Dr du Plessis employs a variety of approaches to correct lower limb deformities in paediatric patients, including:

  1. Angular deformities: These involve abnormal angulation of the bones, such as bowlegs (genu varum) or knock-knees (genu valgum).
  2. Length discrepancies: Disparities in the length of the legs, commonly caused by growth plate injuries or congenital conditions.
  3. Rotational deformities: Abnormal twisting or rotation of the bones, impacting the alignment and function of the lower limbs.

Paediatric lower limb deformity correction indications:

Dr du Plessis evaluates each case meticulously, considering various factors such as the child's age, the severity of the deformity, and its impact on daily activities. Indications for intervention may include:

  • Functional impairment: Deformities that hinder a child's ability to walk, run, or engage in routine activities.
  • Pain and discomfort: Chronic pain or discomfort associated with the deformity.
  • Progressive conditions: Deformities that are likely to worsen over time if left untreated.

Causes of Paediatric lower limb deformity

Several factors contribute to lower limb deformities in paediatric patients:

  1. Congenital conditions: Abnormalities present at birth affecting bone or joint development.
  2. Injuries: Growth plate injuries or fractures during childhood can impact proper bone growth.
  3. Genetic factors: Inherited conditions that affect musculoskeletal development.
TREATMENT
Conservative treatment:

In less severe cases, Dr du Plessis may recommend non-surgical interventions such as:
  • Orthotic devices: Braces or shoe inserts to support proper alignment.
  • Physical therapy: Exercises to improve strength, flexibility, and alignment.
SURGERY
For more complex cases, surgical intervention may be necessary. Dr du Plessis employs advanced surgical techniques, including:
  • Osteotomy: Surgical cutting and reshaping of bones to correct alignment.
  • Lengthening procedures: Surgical methods to address limb length discrepancies.
  • Internal fixation: The use of implants like plates and screws to stabilize bones during healing.

FAQ

What is the recovery process like after paediatric lower limb deformity correction surgery?
Recovery varies depending on the type and complexity of the surgery. Physical therapy is often an integral part of the recovery process, helping the child regain strength, mobility, and proper limb function.
Can paediatric lower limb deformities be prevented?
In some cases, deformities may be unavoidable due to genetic factors or congenital conditions. However, early intervention and proper medical care can help manage and correct deformities, minimizing their impact on a child's long-term well-being.
Is surgery the only option for paediatric lower limb deformity correction?
No, surgery is not always the first option. Dr du Plessis may recommend conservative treatments such as orthotic devices and physical therapy for less severe cases. The treatment plan is tailored to the individual needs of the child.

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    PUBLICATIONS

    Assessment of the Reliability and Reproducibility of the Langenskiöld
    Classification in Blount’s Disease

    DU PLESSIS J, Firth GB, Robertson A. Assessment of the reliability and reproducibility of the Langenskiöld classification in Blount's disease. Journal of Pediatric orthopedics. Part B. 2019 Nov 12.

     

    The Impact of the COVID-19 lockdown restrictions on orthopaedic trauma admissions in a central academic hospital in Johannesburg

    Foster M, Du Plessis J, Jansen van Vuuren M, Jingo M, Pietrzak JR. The impact of the COVID-19 lockdown restrictions on orthopaedic trauma admissions in a central academic hospital in Johannesburg. SA Orthopaedic Journal. 2022;21(2):70-5.

    Short term results following two stage revision for periprosthetic joint infection

    DU PLESSIS, J et al. Short-term results following two-stage revision for periprosthetic joint infection. South African Orthopaedic Journal, [S.l.], v. 19, n. 2, p. 64-69, may 2020

     

    Comparison of visual estimations of distal radius fracture radiographic parameters between different levels of orthopaedic doctors.

    Naidoo V, Milner B, du Plessis J. SA Orthop J. 2025;24(1):26-31. http://dx.doi.org/10.17159/2309-8309/2025/v24n1a4