Congenital coxa vara. A retrospective review

James Neil Weinstein, K. N. Kuo*, E. A. Millar

*Corresponding author for this work

Research output: Contribution to journalArticle

50 Scopus citations

Abstract

Forty-two cases of coxa vara were retrospectively reviewed. All 42 cases were classified based on their history and roentgenographic appearance. Twenty-two cases of true congenital coxa vara were identified and are the primary focus of this review. In this study we have introduced the Hilgen-reiner epiphyseal (HE) angle as measured on standard AP roentgenograms of the hip. Retrospectively, this angle was measured to aid in deciding candidacy for surgery, as well as a means of determining the amount of surgical correction necessary to prevent a recurrence of the deformity. The indication for surgery should be an HE angle of greater than 60°. HE angles of less than 60° and greater than 45° represent a “gray zone” and should be observed. HE angles of less than 45° will generally correct spontaneously without surgery.

Original languageEnglish (US)
Pages (from-to)70-77
Number of pages8
JournalJournal of Pediatric Orthopaedics
Volume4
Issue number1
DOIs
StatePublished - Jan 1 1984

Keywords

  • Congenital coxa vara
  • Hilgenreiner epiphyseal angle
  • Prognosis

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Orthopedics and Sports Medicine

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