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Observation
55%
320/584
Brace treatment
4%
21/584
Osteotomy of the proximal tibia
3%
17/584
Osteotomy of the distal femur
5%
31/584
Temporary bilateral distal femoral medial hemiepiphyseodesis
32%
187/584
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The hip-knee-ankle axis falls in the lateral compartment of the knee. Most patients by age 11 have achieved the axis they will have as an adult. Bilateral distal femoral medial hemiepiphyseodesis with staples, plates, or screws that can be placed and then removed after correction of the valgus is the appropriate treatment. Observation is not likely to correct the valgus at this age and hemiepiphyseodesis should be done while there is sufficient growth remaining. Brace treatment and osteotomies of the tibia or femur are not indicated in this age group.
1.4
(56)
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