MCQ Orthopedics Answer 16

The Correct Answer is A

There is little evidence that femoral anteversion causes long-term functional problems. Studies have shown that shoe wedges, torque heels, and twister cable splints are not effective. Surgery should be reserved for children 8 to 10 years of age who still have cosmetically unacceptable, dysfunctional gaits. Major complications of surgery occur in approximately 15% of cases, and can include residual in-toeing, out-toeing, valgus deformity, loss of position, osteomyelitis, avascular necrosis of the femoral head, and fracture. Thus, observation alone is appropriate treatment for a 5-year-old with uncomplicated anteversion.

Ref: Diets FR: In-toeing: Fact, fiction and opinion. Am Fam Physician 1994;50(6):1249-1259.

Category: Orthopedics MCQs