23. Congenital Coxa Vara

• Congenital coxa vara is a rare congenital condition where the collodiaphyseal angle of the femur gradually decreases due to malfunction of the ossification of the femoral neck
• The condition is present at birth but usually isn’t discovered until 3 – 4 years
• Diagnosis: x-ray
• Clinical features
  • 1/3 are bilateral
  • Coxa vara
  • Fold asymmetry
  • Abduction contracture
  • Limping
• Treatment: Valgus osteotomy