Tag Archive for: Knee

Radiological Assessment and Planning of Deformities

Volume 10 | Issue 2 | May-August 2024 | Page: 12-17 | Sudhanshu Bansal, Gaurav Gupta, Deepak Khurana 

DOI- https://doi.org/10.13107/ijpo.2024.v10.i02.184

Submitted: 05/03/2024; Reviewed: 02/04/2024; Accepted: 15/05/2024; Published: 10/08/2024

Authors: Sudhanshu Bansal MS Ortho [1], Gaurav Gupta MS Ortho [2], Deepak Khurana MS Ortho [3]

[1] Department of Paediatric Orthopaedic Surgery, CODS Clinic, Ludhiana, Amandeep Hospital, Amritsar, Punjab, India.
[2] Department of Paediatric Orthopaedic Surgery, Child Ortho Clinic, Delhi-NCR, India.
[3] Department of Paediatric Orthopaedic Surgery, JCPODS, Jeevan Rekha hospital, Jaipur, Rajasthan, India.

Address of Correspondence

Dr. Sudhanshu Bansal,
Consultant, Paediatric Orthopaedic Surgeon, CODS Clinic, Ludhiana, Amandeep Hospital, Amritsar, Punjab, India.
E-mail: drbansalsudhanshu@gmail.com

Abstract

Deformity correction is a fundamental aspect of orthopedic surgery, requiring a precise radiological assessment and systematic planning. This article provides an indepth overview of the radiological modalities available for deformity assessment, including X-rays, scannograms, computed tomography (CT), and magnetic resonance imaging (MRI). Proper radiographic techniques, such as standing fulllength X-rays and scannograms, are critical for accurate limb alignment assessment. Advanced imaging modalities, including CT and MRI, are necessary in cases of complex deformities or rotational abnormalities. Furthermore, various software applications are available for preoperative deformity planning, enabling precise correction strategies. This article also addresses approaches for managing deformities in limited-resource settings, emphasizing cost-effective and accessible imaging techniques. The objective is to enhance clinical decisionmaking and optimize surgical outcomes in deformity management.
Keywords: Alignment, Anatomic tibiofemoral angle, Deformity, Knee, Lower limb alignment, Mechanical axis angle, Radiography

References

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How to Cite this Article:  Bansal S, Gupta G, Khurana D | Radiological Assessment and Planning of Deformities | International Journal of Paediatric Orthopaedics | May-August 2024; 10(2): 12-17. https://doi.org/10.13107/ijpo.2024.v10.i02.184

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Specific Anatomical Patterns of Septic Sequelae of Knee in Children: Possibility of a Vascular Etiopathogenesis

Volume 8 | Issue 3 | September-December 2022 | Page: 16-21| Anil Agarwal

DOI- https://doi.org/10.13107/ijpo.2022.v08.i03.145

Authors: Anil Agarwal [1] MS Ortho.

[1] Department of Paediatric Orthopaedics, Chacha Nehru Bal Chikitsalaya, Geeta Colony, Delhi, India.

Address of Correspondence
Dr. Anil Agarwal,
Department of Paediatric Orthopaedics, Chacha Nehru Bal Chikitsalaya, Geeta Colony, Delhi, India.
E-mail: anilrachna@gmail.com

Abstract

Background: The septic sequelae of knee following infantile infection is scantily described in literature. This case series depicts the various anatomical zones affected, the radiological presentation and proposes a vascular hypothesis for the sequelae.
Methods and results: Sequelae presented with three distinct radiological findings namely, unicondylar loss of lateral distal femur (n=4), hemicondylar loss of anterior portion of proximal tibia (n=3), and epiphyseal overgrowth and deficient tibial metaphysis of medial/ lateral side (n=4). The anatomical zones for above findings were seen approximately matching with the supply of specific genicular arteries around knee. On corroborating the early post infective radiographs and the sequelae radiographs, it was found that most patients had concomitant osteomyelitis, sometimes extensive.
Conclusions: We could recognize three distinct anatomical patterns of septic sequelae of knee following osteoarticular knee infection in infancy. An ischemic etiopathogenesis is suggested based on consistent radiological findings and the vascular supply zones. Most cases followed concomitant occurrence of septic arthritis and extensive osteomyelitis.
Keywords: Knee, Sepsis, Sequelae, Ischemia, Infants

References

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How to Cite this Article: Agarwal A | Specific Anatomical Patterns of Septic Sequelae of Knee in Children: Possibility of a Vascular Etiopathogenesis | International Journal of Paediatric Orthopaedics | September-December 2022; 8(3): 16-21 | https://doi.org/10.13107/ijpo.2022.v08.i03.145

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