Knock Knees Correction Without Surgery
During transport, the paramedic in charge radioed ahead to provide a prehospital report to the charge nurse. His report included the following information occipital and frontal head pain laceration to right temple, superior and anterior to right ear lumbar pain bilateral thoracic pain on inspiration at midclavicular line on right and midaxillary line on the left dull aching pain of the posterior proximal right thigh bilateral paresthesia (numbness and tingling) of distal lower legs circumferentially varus (knock-knee) adduction deformity of left knee and posterior displacement deformity of left shoulder.
Stern and associates (1991) reviewed 134 TKAs in 98 patients with preoperative valgus deformities greater than 10 degrees with an average follow-up of 4.5 years.8 Posterior-stabilized implants were used in the vast majority of cases (118 of 134), and valgus release consisted of release of the lateral structures from the lateral aspect of the femur. Postoperatively, the knees in their series had valgus alignment of 5 to 9 degrees, and a lateral retinacular release for patellar maltracking was required in 76 of cases. The authors reported 91 good or excellent results. However, only 71 were classified as excellent compared to 88 excellent in the standard TKA population.25 Complications included peroneal nerve palsies in 5 knees (3 ), aseptic loosening requiring revision in 3 knees, and one patient with chronic pain requiring revision. Laurencin and associates (1992) reviewed 25 TKAs in 25 patients with average preoperative valgus deformities of 32 degrees.6 To correct valgus deformity,...
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