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En el caso del genu varo (piernas en O) o del genu valgo (piernas en X), puede haber una sobrecarga considerable en un lado de la rodilla, que el cartílago no puede soportar a largo plazo. Si el menisco se ha dañado o se ha extirpado, se pierde su función protectora y el fallo articular es inevitable.","Text",[],[],{"_uid":328,"text":329,"component":324,"text_style":330,"component_style":331},"4aebb6db-40c1-420c-9227-5adadd67ea2a","## Una corrección puede evitar daños tardíos\n\nEn el caso de una carga incorrecta, sólo un enderezamiento quirúrgico a tiempo de la pierna puede detener la destrucción de la articulación. Las desviaciones de rotación de las piernas hacia dentro o hacia fuera (caminar como Charlie Chaplin) también pueden perjudicar considerablemente el patrón de la marcha y, a menudo, provocar una fatiga muscular temprana o dolores articulares debido a una carga desfavorable. Las correcciones quirúrgicas están casi siempre indicadas desde el punto de vista médico, ya que corrigen los problemas causantes y evitan daños tardíos. En muchos casos, se puede evitar una articulación artificial de la rodilla o, al menos, posponerla considerablemente.",[],[],{"_uid":333,"text":334,"component":324,"text_style":335,"component_style":336},"a921add6-b613-4f5d-9413-3603f7d0eff8","## Una planificación precisa y una técnica suave\n\nUna vez finalizado el crecimiento, la corrección de las deformidades de las piernas siempre requiere el corte del hueso. El análisis preciso y la planificación de la corrección son un requisito indispensable para el éxito del tratamiento. ZEM-Germany dispone de las técnicas más modernas y de décadas de experiencia. El hueso se corta suavemente y la pierna se puede medir con exactitud durante la operación. La estabilización suele ser posible con un clavo intramedular interno o una placa. Los fijadores externos rara vez son necesarios, y sólo se utilizan si la corrección aguda amenaza con una lesión nerviosa.",[],[],{"id":102,"alt":102,"name":9,"focus":102,"title":102,"filename":9,"copyright":102,"fieldtype":11},"Las alteraciones de la geometría normal de la pierna pueden provocar una carga anormal en las articulaciones y un desgaste articular prematuro. Tanto en los jóvenes, como medida preventiva, como en las personas mayores, cuando ya se ha producido el desgaste, las correcciones del eje o de la torsión son una importante opción de tratamiento para la conservación de la articulación y, en muchos casos, pueden evitar o al menos retrasar la necesidad de una sustitución de la articulación de la rodilla artificial.","Page",[],[],"Las deformidades y torsiones de las piernas deben ser analizadas con precisión. 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