Bone specialist for Deformity Corrections - Dr Srinivas Kasha

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Congenital bone deformities

Congenital bone deformities develop from birth; some can be straightened over time with the growth of the child. Some happen due to a broken bone injury and heals in an improper alignment. There are few types of bone deformities such as Angulation, Torsion, Translation, Broken bone heals in shorter position. Bone deformities lead to pain and discomfort as also restricts free movement.

CTEV(Congenital Talipes Equinovarus)

It is a disorder of foot present at birth, where the baby’s foot is twisted out of shape. If it is not treated immediately, then it is difficult and painful to walk. The treatment for this is the Ponseti method which is simple, effective and also minimally invasive with low cost. It can be performed without anesthesia even in the neonatal period.

Dr. Srinivas Kasha
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Clubfoot

Is not painful in childhood; it is a deformity where the infant’s foot is turned inward. It will remain deformed if untreated and the child will not be able to walk properly. Clubfoot is treated with nonsurgical methods like stretching, casting, and bracing. Clubfoot is broadly classified into two groups- Isolated clubfoot and non- isolated clubfoot.

foot deformity

A foot deformity is a condition of the foot that may be congenital or acquired. Such deformities may include hammer toe, club foot, flat feet, or pes cavus. This deformity will lead to problems in the hips, back, knees. The treatment should be done in childhood. Walking is the best preventive measure for foot deformities. These are common issues that generally occur due to abnormal positioning of the foot bones, inadequate biomechanics and problems related to arthritis that affects bones and tissue of the foot.

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Bowing of the knee

Bowing of the knee also called as Genu varum. When a child or person with bowed legs stands with his feet together, their knees stay wide apart even when their ankles are together. The causes of the bowed leg are Blount’s disease – occurs due to the problems with the development of the growth plate on the inner side of the knee, Previous infection or injury, Rickets- occurs due to weak bones in children. Surgical treatments include- Osteotomy and temporary tether or permanent tether. This condition can develop suddenly to an overweight adolescent who had straight legs earlier.

Ilizarov surgery

Ilizarov surgery – it is an external frame used to lengthen and reshape limb bones or to treat mal-union or non-union fractures. It is also used to treat infections in bones. The frame is fixed to healthy bone at the top and bottom using heavy wire bypassing the area being treating. It is a highly successful orthopedic surgical technique. Additionally, this technique and the device used can sometimes save limbs that otherwise be amputated.

Taylor Spatial Frame

Taylor Spatial Frame is an external fixator used in limb reconstruction to slowly lengthen the limb, correct limb deformities, or to reposition a fractured limb. The frame consists of two full/ half rings with six rods called struts. These struts are adjustable. You can lengthen or shorten as required.

Computer-assisted correction of bone deformity

The TSF is a fixation device used to implement the Ilizarov method of bone deformity correction using an adjustable frame to simultaneously perform alignment and distraction of an open wedge osteotomy. The surgeon inputs information about your bone deformity into an advanced web-based computer application. This information is then interpreted by the software and a complete treatment plan is created. The computer will show the image of deformity and shows how it should be adjusted until the bones are completely set in proper alignment.

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