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Abnormal Knee Surgery in Children Orthopedics

In our third installment of potential orthopedic issues facing parents of children with developmental problems, we focus on differentiating extreme abnormal skeletal issues with naturally occurring ones.  Naturally occurring knock-kneed configuration may persist as late as age six.  Very occasionally, children can have other problems that result in an abnormal alignment.  Some of these problems relate to serious injuries, problems with metabolism or nutrition.

When this is due to trauma, like a fracture healing incorrectly, genetic bone growth abnormalities, or severe injury to the shin bone, these issues may need to be corrected in surgery.  The child orthopedic specialist may order x-rays if there is a concern regarding the underlying skeletal structure.  

If curvature of your child’s leg is extreme, asymmetrical, growth is inhibited, or if knock-knees persist beyond age seven, talk to your pediatrician.  In some cases, treatment from a pediatric orthopedist may be required to resolve the issue.

Though surgery is rare, cases where orthopedic surgery is used is proven to correct extreme knock-knees causing pain or inhibit walking, or that will cause arthritis later in life. Surgery is usually done at about age 10 or 11 while the child is still growing.  The surgery may involves fusing or inserting pins at certain growth plates so that abnormal growth may be restricted in areas that are growing faster than others.

Though there is significant differences in orthopedic issues for patients in Houston who face developmental issues, we will assist you find the solution you need to restore your child's mobility.  

 
Abnormal Knee Surgery in Children Orthopedics

In our third installment of potential orthopedic issues facing parents of children with developmental problems, we focus on differentiating extreme abnormal skeletal issues with naturally occurring ones.  Naturally occurring knock-kneed configuration may persist as late as age six.  Very occasionally, children can have other problems that result in an abnormal alignment.  Some of these problems relate to serious injuries, problems with metabolism or nutrition.

When this is due to trauma, like a fracture healing incorrectly, genetic bone growth abnormalities, or severe injury to the shin bone, these issues may need to be corrected in surgery.  The child orthopedic specialist may order x-rays if there is a concern regarding the underlying skeletal structure.  

If curvature of your child’s leg is extreme, asymmetrical, growth is inhibited, or if knock-knees persist beyond age seven, talk to your pediatrician.  In some cases, treatment from a pediatric orthopedist may be required to resolve the issue.

Though surgery is rare, cases where orthopedic surgery is used is proven to correct extreme knock-knees causing pain or inhibit walking, or that will cause arthritis later in life. Surgery is usually done at about age 10 or 11 while the child is still growing.  The surgery may involves fusing or inserting pins at certain growth plates so that abnormal growth may be restricted in areas that are growing faster than others.

Though there is significant differences in orthopedic issues for patients in Houston who face developmental issues, we will assist you find the solution you need to restore your child's mobility.  

 
Bone Grafting Surgeries in Houston

Bone grafts are extremely important procedures for looking to orthopedic surgeons in Houston to restore their mobility after injury.  While the advancement of technology has yielded great successes in bone graft surgery, safety issues still arise and are a top concern for any surgeon working with a patient to plan their procedure.  The goal pre-surgery is to eliminate any risk of complication or infection to the patient.

In keeping this goal in mind for the ultimate success of the procedure, any allograft tissue used in the grafting procedure undergoes intense scrutiny in the laboratory screening process before ever being used in the body.  An allograft tissue is one that is the transplantation of cells, tissues, or organs to the recipient from a donor that has different genes.  

The simple fact that tissue not originating from the patient is being used opens the patients risk level up to foreign pathogens like hepatitis.  As nearly one third of all bone grafts used in North America are allografts, this is a concern for any procedure. Which is exactly why tissue engineering and genetic therapy hold promise for new bone-graft substitutes.  Regardless, the risk is extremely minimal given our intensive treatment of donor tissue in the lab.  The tissues are often flash frozen, freeze dried, and radiated to eliminate all potential pathogens.  

If you have questions regarding bone grafting, call your orthopedic surgeon in Houston.

 




 
Middle Aged Orthopedic Injuries

While orthopedic surgical issues arise for many reasons, those of middle aged individuals most commonly result from over activity without previous training.  No other group of individuals is more likely to injure themselves than middle aged returning to physical activity.  The primary reason is their own understanding of their physical limitations.

We've all heard the old adage, "Young at Heart, Young at Mind," but where does your body fit in?  When an individual of middle-age makes a decision to return to physical activity, the tendency is to participate in extreme or rigorous activities.  Without proper training or body strengthening, the body is in a weakened  condition that is prone to injury.  Carrying too much weight can also be dangerous and lead to further complications.  Both of these pre-existing conditions are a barrier to staying in shape.

Starting gradually increases the likelihood that you will loose weight and strengthen muscles that might otherwise lead to torn or impacted knee and leg ligaments or even severe compression of the spine.  Each of these issues can be extremely painful, interfere with your daily activities, and may even require orthopedic surgery.  

For those that have already suffered high impact injuries in returning to physical activities, call your orthopedic doctor in Houston immediately for a consultation.  For those beginning to see signs of injury and spinal compression, take some time out and rest--then consult with your orthopedic doctor.  If you are just now planning to return to physical activity, are middle-aged, and haven't begun training yet, call your orthopedic doctor for a consultation regarding the risks and developing a work out plan that will bring you back up to strength before engaging in high impact physical activities.  

 

 
Bow Legs In Children Orthopedics

Though pigeon-toeing may not be a clear indication that your child’s structural development is at risk, bow legs and knock-knees might be stronger indications that a more serious underlying issue exists. Most parents will see some form of these conditions in the early development phases of walking however slight.  The best action is to encourage the physical activity of the child to strengthen and straighten the legs in combination with a healthy diet rich in micronutrients and fiber.

Bowlegs is a condition known as genu varum.  This is the condition where the legs bend outward and the curvature of the leg is over accentuated.  When standing erect, the child’s knees will not be able to touch.  Though usually an inherited trait that can work out on its own, it is possible to be the result of a medical condition called Rickets.

Rickets is a condition that occurs due to malnutrition.  Though rare, given the improvement of nutrition in the US, Rickets does cause severe pain and bow legs to occur.  It can be easily remedied by adding Vitamin D or calcium to the diet.  If you believe your child might have Rickets, contact your family doctor immediately.

Blount’s Disease is also a condition that cause bow legs.  Unlike Rickets, Blount’s Disease is not a simple malnutrition issue and may require the assistance of an orthopedic doctor.

Blount’s affects the tibia bone in one or both of the lower legs to cause leg bowing when the child is about 2 years of age.  The condition’s cause is unknown, the disease causes abnormal growth of the upper tibia bone where it connects with the knee joint.  An orthopedic solution is bracing or orthopedic leg surgery when the child reaches the 3 to 4 year old age mark.

Should your child’s bow legs worsen or show no signs of improvement with encouragement of physical activity, you should call your orthopedic doctor or family doctor to determine the best course of action for your child

 
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