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<p>Assessment of angular and torsional relationships of the lower extremities is essential in pediatric orthopedics to differentiate between physiological developmental processes and pathological deformities. Frontal angular deformities usually show a&#xa0;favorable spontaneous course but can cause biomechanical consequences and complaints in the case of persistent or very pronounced deformities. Growth guidance using temporary hemiepiphysiodesis is established as the gold standard for correction. Torsional deformities of the lower limb require differentiated diagnostics and if therapy is required have so far primarily been treated by correction osteotomies. Although there are initial approaches to growth-modulating procedures for torsional correction, these are not yet regularly used clinically. Regular follow-up checks and the correct timing of growth-guiding procedures are crucial for treatment success.</p>

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Wachstumslenkung bei kindlichen Achs- und Torsionsfehlern

  • 期刊论文

  • 发表日期：

    2025年2月10日

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  • Andrea Laufer,
  • Adrien Frommer,
  • Robert Rödl,
  • Henning Tretow,
  • Gregor Toporowski,
  • Björn Vogt

摘要

Assessment of angular and torsional relationships of the lower extremities is essential in pediatric orthopedics to differentiate between physiological developmental processes and pathological deformities. Frontal angular deformities usually show a favorable spontaneous course but can cause biomechanical consequences and complaints in the case of persistent or very pronounced deformities. Growth guidance using temporary hemiepiphysiodesis is established as the gold standard for correction. Torsional deformities of the lower limb require differentiated diagnostics and if therapy is required have so far primarily been treated by correction osteotomies. Although there are initial approaches to growth-modulating procedures for torsional correction, these are not yet regularly used clinically. Regular follow-up checks and the correct timing of growth-guiding procedures are crucial for treatment success.