GENU-VALGUM AND GENU-VARUM IN CHILDREN

Idiopathic genu varum and genu valgum are common problems in pediatric orthopedic practice. Standardized evaluation is essential to compare the deformity with age specific normal ranges. Secondary deformities a re infrequent, often unilateral, and progressive with growth. Epiphyse al stapling at adolescence is required only in severe deformities. Pat ient Selection for this procedure is difficult because of uncertaintie s regarding accurate bone age determination and prediction of final po ststapling outcome. Closely spaced evaluations between 10 and 13 years of age are helpful for determining the optimal time for stapling.