
SERVICES
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:
- Angular deformities: These involve abnormal angulation of the bones, such as bowlegs (genu varum) or knock-knees (genu valgum).
- Length discrepancies: Disparities in the length of the legs, commonly caused by growth plate injuries or congenital conditions.
- 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:
- Congenital conditions: Abnormalities present at birth affecting bone or joint development.
- Injuries: Growth plate injuries or fractures during childhood can impact proper bone growth.
- Genetic factors: Inherited conditions that affect musculoskeletal development.
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.
- 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
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
