Coxa Vara

VII Rhizomelia and coxa vara in all affected patients decreased cortical width and trabecular number,... 

Nearly half the patients had abnormal laxity of the hips and ankles. It was surprising to be able to dorsiflex the foot, so that it almost touched the shin, in patients with obvious spasticity of the proximal muscles of the leg. Fixed deformities of the spine were present in a few patients. X-rays of the hips showed coxa vara and valga deformities, shortening of the femoral neck, deformities of the head of the femur and flattening of the acetabula. 

Cervico-trochanteric is the second most common type of hip fracture in a child and is the result of severe trauma. Osteonecrosis, premature physeal closure and coxa vara can occur following type 3 fractures, particularly if there is some displacement, although these complications are less common than in type 1 and 2 injuries (Beaty 2006 Moon and Mehlman 2006 Shrader et al. 2007). 

Coxa vara occurs in approximately 10%-30% of hip fractures. It may be the result of insufficient reduction in the fracture, delayed or non-union, osteonecrosis or premature closure of the physeal plate. Severe coxa vara will result in limb length shortening and can lead to early osteonecrosis. Both coxa vara and non-union can be managed by subtrochanteric valgus osteotomy. 

Coxa vara, 49-11 Cozens-Roberts, C., 62-5 CP (creatine phosphate), in muscle energy, 65-2 CPB (cardio pulmonary bypass) pumps, 10-15 CPR (Cardiopulmonary resuscitation) adjuvant techniques in, 18-7-18-11... 

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