What is the best choice for genu Recurvatum?

However, in effect, the main treatments for genu recurvatum are strengthening the quadriceps muscles, using a brace to prevent hyperextension (which is often quite bulky and not tolerated well by patients) or proceeding with a proximal tibial osteotomy which increases the slope of the tibia to decrease or eliminate the …

What type of T strap is used for someone with a valgus ankle deformity?

The concept of the alignment control strap has been traditionally used in knee-ankle-foot orthoses to control the varus or valgus deformities of the knee.

How do you manage genu Recurvatum?

Given the distinct pathological origins of the condition, treatment of symptomatic genu recurvatum can be grouped into 3 major categories: osseous surgical management, often entailing osteotomy of the tibia; soft tissue surgical management, aimed at tensioning the posterior soft tissues; and nonoperative management.

Which orthosis is given for the prevention of knee contracture post surgical?

Sport Knee Orthoses Rehabilitative knee bracing is used to allow protected motion within defined limits. It is useful for postoperative and conservative management of knee injuries, such as anterior cruciate ligament–reconstructed knees and patellofemoral pain syndrome.

What is a kafo brace?

A Knee Ankle Foot Orthosis or KAFO is a lower extremity orthotic that is used to control instabilities in the knee and lower limb by maintaining proper alignment and controlling motion. Instabilities can be caused by broken bones, arthritic joints, hyperextension of the knee, muscle weakness and/or paralysis.

How do you fix ankle varus?

We found ankle varus on average of less than 10 degrees can be reliably corrected with a combination of lateral ligament reconstruction and calcaneal osteotomy. Approximately 50% of the deformity was corrected when comparing pre and postoperative talar tilt values.

What is AFO for foot drop?

Regardless of the mechanism of injury, treatment of drop foot typically involves bracing with an ankle foot orthosis, or AFO. The AFO functions by limiting the speed at which the foot plantarflexes during loading response (foot slap) and prevents the foot from dropping during the swing phase of gait (drop foot).

What is congenital genu Recurvatum?

Disease definition. A rare congenital knee dislocation characterized by hyperextension of the knee greater than 0° associated with limited flexion, with prominence of the femoral condyles in the popliteal fossa and increased transverse skin folds over the anterior surface of the knee.

How common is congenital genu Recurvatum?

Genu recurvatum loosely translates as “backward-bending knee.” It is also known as congenital dislocation of the knee (CDK) or congenital dislocation of the patella (CDP), and sometimes as congenital hyperextension. CDK is a rare condition with an incidence rate of approximately 1 per 100,000 live births.

What are the treatment options for genu Varus and valgus?

Small adjustments were made for pressure areas. After several weeks an outer knee dial was added to each orthosis for more control of genu varus ( Fig. 8 ). In other patients with genu varus and valgus the orthotist used a vacuum-formed polyethylene control pad lined with Pelite.

Is orthotic management the solution to genu Varus?

We turned to orthotic management as a solution to the problem. The patient is a 60-year-old white female, registered nurse who had genu varus on the right side and bilateral genu recurvatum, more severe on the left ( Fig. 1 ). She had had these problems all her life but they had been getting worse gradually.

Why polypropylene for genu recurvatum and genu Varus?

Orthotic Management for Genu Recurvatum and Genu Varus. Polypropylene was selected because of its low cost, light weight, good cosmetic appearance, interchangeability of shoes, and the fact that she was not allergic to this material. To obtain free ankle motion the plastic ankle-foot complex was moulded and trimmed appropriately.

What kind of orthotics should be used for recurvatum?

The patient was referred to the Orthotics-Prosthetics Service at The Fairfax Hospital. Bilateral moulded plastic knee-ankle-foot orthoses with recurvatum and genu varus control were recommended. Free offset knee joints 1/4-inch (0.62 cm) thick polypropylene was used for both the above-knee and below-knee sections.