Epiphysiodesis at the knee region to solution of the knee deformities and lower extremity length discrepancies: biomechanical aspects

Kód výsledku v IS VaVaI

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Výsledek na webu

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DOI - Digital Object Identifier

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Jazyk výsledku

angličtina

Název v původním jazyce

Epiphysiodesis at the knee region to solution of the knee deformities and lower extremity length discrepancies: biomechanical aspects

Popis výsledku v původním jazyce

Lower extremity length discrepancy (LELD) and angular deformities in the knee region belong to frequent problems that are solved by paediatric orthopaedic surgeon. The role of LELD, both a biomechanical impediment and a predisposing factor for associated musculoskeletal disorders has been a source of controversy for some time. Compensatory mechanisms during walking are complex and result in kinematic alterations in the lower extremities and pelvis - biomechanically significant shortening represent so-called pre-osteoarthritis [4, 5]. Mild angular deformities represent normal variations of lower limbs development. Nevertheless, bowlegs after 2 years of age are consider as abnormal and knock knees after 7 years of age need more evaluation to exclude pathologic causes. Severe angular deformities of lower extremities are not only a cosmetic problem. Without treatment they soon lead to pre-osteoarthritis and osteoarthritis of big joints of legs in young adults. Nowadays progress in surgery and auxology enables the treatment both around knee deformities and LELD by mini-invasive surgery. Epiphysiodesis is paediatric surgical procedure used to close a growth plate at the upper and/or lower extremities. The aim of this surgery is stop an abnormal growth on one side of the physis and correct an angulation in the level of growth plate which is the most appropriate biomechanical place for deformity correction.

Název v anglickém jazyce

Epiphysiodesis at the knee region to solution of the knee deformities and lower extremity length discrepancies: biomechanical aspects

Popis výsledku anglicky

Lower extremity length discrepancy (LELD) and angular deformities in the knee region belong to frequent problems that are solved by paediatric orthopaedic surgeon. The role of LELD, both a biomechanical impediment and a predisposing factor for associated musculoskeletal disorders has been a source of controversy for some time. Compensatory mechanisms during walking are complex and result in kinematic alterations in the lower extremities and pelvis - biomechanically significant shortening represent so-called pre-osteoarthritis [4, 5]. Mild angular deformities represent normal variations of lower limbs development. Nevertheless, bowlegs after 2 years of age are consider as abnormal and knock knees after 7 years of age need more evaluation to exclude pathologic causes. Severe angular deformities of lower extremities are not only a cosmetic problem. Without treatment they soon lead to pre-osteoarthritis and osteoarthritis of big joints of legs in young adults. Nowadays progress in surgery and auxology enables the treatment both around knee deformities and LELD by mini-invasive surgery. Epiphysiodesis is paediatric surgical procedure used to close a growth plate at the upper and/or lower extremities. The aim of this surgery is stop an abnormal growth on one side of the physis and correct an angulation in the level of growth plate which is the most appropriate biomechanical place for deformity correction.

Druh

D - Stať ve sborníku

CEP obor

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OECD FORD obor

30211 - Orthopaedics

Projekt

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Návaznosti

I - Institucionalni podpora na dlouhodoby koncepcni rozvoj vyzkumne organizace

Rok uplatnění

2016

Kód důvěrnosti údajů

S - Úplné a pravdivé údaje o projektu nepodléhají ochraně podle zvláštních právních předpisů

Název statě ve sborníku

16th Conference on Human Biomechanics 2016 – Conference proceedings

ISBN

978-80-01-06039-1

ISSN

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e-ISSN

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Počet stran výsledku

2

Strana od-do

13-14

Název nakladatele

Faculty of biomedical engineering, Department of Natural sciences

Místo vydání

Kladno

Místo konání akce

Kladno

Datum konání akce

7. 11. 2016

Typ akce podle státní příslušnosti

EUR - Evropská akce

Kód UT WoS článku

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