Abstract
Coxa Vara is a deformity of the femoral neck resulting in a neck shaft angle of less than 110°. It may be congenital, acquired or developmental. Developmental coxa vara has been distinguished from the other types as it occurs at the level of the proximal femoral physis. In this chapter we discuss normal proximal femoral development and the pathophysiology of coxa vara. The radiological and clinical features are discussed and illustrated along with evidence based guidance for treatment, including proposed surgical management.
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Beals RK. Coxa vara in childhood: evaluation and management. J Am Acad Orthop Surg. 1998;6(2):93–9.
Fiorani G. Sopra una forma speciale di zoppicamento. GazzOsp. 1881;2:717.
Müller E. Ueber die Verbiegung des Schenkelhalses im Wachstumsalter. Beitr Klin Chir. 1888;4:137.
Hofmeister F. Coxa vara. Eine typische Form der Schenkelhalsverbiegung. Beitr Klin Chir. 1894;12:245–318.
Hoffa A. Congenital coxa vara. Deutsche.med.Wchnschr 1905;31:1257.
Pylkkanen PV. Coxa vara infantum. Acta Orthop Scand Suppl. 1960;48:1–120.
Fairbank HA. Coxa Vara due to congenital defect of the neck of the femur. J Anat. 1928;62(Pt 2):232–7.
Zimmermann M. Untersuchungen über Krankheitsbild und Ätiologie der „sogenannten Coxa vara congenita “oder „Coxa vara infantum “. ZOrthop. 1938;68:389.
Herring JA. Tachdjian’s pediatric orthopaedics: from the Texas Scottish Rite Hospital for children. : Elsevier Health Sciences; 2013.
Weinstein JN, Kuo KN, Millar EA. Congenital coxa vara. A retrospective review. J Pediatr Orthop. 1984;4(1):70–7.
Carroll K, Coleman S, Stevens PM. Coxa vara: surgical outcomes of valgus osteotomies. J Pediatr Orthop. 1997;17(2):220–4.
Gunther CM, Komm M, Jansson V, Heimkes B. Midterm results after subtrochanteric end-to-side valgization osteotomy in severe infantile coxa vara. J Pediatr Orthop. 2013;33(4):353–60.
Barden B, Wesskamp B, Fitzek JG, Loer F. Curved osteotomy technique for intertrochanteric varus surgery–an experimental and computer-assisted surgery. Z Orthop Ihre Grenzgeb. 2001;139(4):311–6.
Keetley CB. Osteotomy of the Hip. Br Med J. 1884;1(1206):261–3.
Pauwels F. Biomechanics of the normal and diseased hip. : Springer Science & Business Media; 1976.
Langenskiold A, Salenius P. Epiphyseodesis of the greater trochanter. Acta Orthop Scand. 1967;38(2):199–219.
Desai SS, Johnson LO. Long-term results of valgus osteotomy for congenital coxa vara. Clin Orthop Relat Res 1993 Sep;(294)(294):204–10.
Amstutz HC, PD Jr W. Dysgenesis of the proximal femur (coxa vara) and its surgical management. J Bone Joint Surg Am. 1962;44-A:1–24.
Amstutz HC, Freiberger RH. Coxa vara in children. Clin Orthop. 1962;22:73–92.
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Murnaghan, C.F., Ferguson, K. (2017). Evidence-Based Treatments for Coxa Vara. In: Alshryda, S., Huntley, J., Banaszkiewicz, P. (eds) Paediatric Orthopaedics. Springer, Cham. https://doi.org/10.1007/978-3-319-41142-2_8
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DOI: https://doi.org/10.1007/978-3-319-41142-2_8
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