50 degree knee valgus
Joan Cestaro
Description
Collection
Title:
50 degree knee valgus
Creator:
Joan Cestaro
Date:
2/1/2002
Text:
I am seeking advice on yet another very unusual case. I have a 75 year
old lady with Rheumatoid Arthritis presenting with 50 degrees of right
knee valgus upon weight bearing. This is correctable to about 20
degrees. The left side (not addressing at this time) presents with 20
degrees of knee varus. They both angle to the left. This lady
apparently had a stoke affecting the right side about 10 years ago which
explains why it is so much worse. I do have photos that I can e-mail
anyone with good suggestions. It's hard to imagine in words a 50 degree
knee valgus condition! It's the worst I've seen.
Subject patient has not walked in almost 2 years, so I don't anticipate
much more than transfer assistance and a few steps around the home. A
KAFO is just overkill and I also doubt that a true KAFO would be
accepted. My initial thoughts are for a KO with posterior straps so
that she can don easily for use and remove during non use. She
amazingly corrects totally while sitting in her wheelchair, so donning
the appliance should be fairly easy. The other concern is that her knee
joint itself is very large (RA) and will endure a great amount of
pressure for this correction.
Open to any thoughts or suggestions on design. Thanks in advance.
Joan K. Cestaro, C.P.
Rehabilitation Practitioners, Inc.
Winchester, Virginia
old lady with Rheumatoid Arthritis presenting with 50 degrees of right
knee valgus upon weight bearing. This is correctable to about 20
degrees. The left side (not addressing at this time) presents with 20
degrees of knee varus. They both angle to the left. This lady
apparently had a stoke affecting the right side about 10 years ago which
explains why it is so much worse. I do have photos that I can e-mail
anyone with good suggestions. It's hard to imagine in words a 50 degree
knee valgus condition! It's the worst I've seen.
Subject patient has not walked in almost 2 years, so I don't anticipate
much more than transfer assistance and a few steps around the home. A
KAFO is just overkill and I also doubt that a true KAFO would be
accepted. My initial thoughts are for a KO with posterior straps so
that she can don easily for use and remove during non use. She
amazingly corrects totally while sitting in her wheelchair, so donning
the appliance should be fairly easy. The other concern is that her knee
joint itself is very large (RA) and will endure a great amount of
pressure for this correction.
Open to any thoughts or suggestions on design. Thanks in advance.
Joan K. Cestaro, C.P.
Rehabilitation Practitioners, Inc.
Winchester, Virginia
Citation
Joan Cestaro, “50 degree knee valgus,” Digital Resource Foundation for Orthotics and Prosthetics, accessed November 22, 2024, https://library.drfop.org/items/show/217996.
