SURGEON SPEAKS: Orthopedic Management-Prevention Vs. Treatment Of Deformities In Muscular Dystrophy - DR. ATUL BHASKAR

A 10-year-old boy with DMD has difficult in walking. He has bent knees (flexion deformity) and walks with equinus attitude. After few steps he ceases to walk independently and needs support with crutches to walk further.

A 16-year-old boy who is wheel-chair dependent has problems when transferring from chair to bed due to his inverted foot and ankle. He gets recurrent ankle pain because of the deformity.

Parents have noticed curvature in a spine of a 13 year old girl which is affecting the posture. The curve doesn’t correct with lying down. This is early scoliosis in a child with DMD. Orthopedic interventions in DMD are required both in the ambulatory stage and non-ambulatory stage of the diseases. Any soft issue contracture, that compromises joint function, will cause difficulty in walking in children with DMD.

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