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How to Correct Knock Knees?

Published in Knee Deformity Correction 3 mins read

Knock knees, where the knees angle inward, can be addressed through various methods depending on the severity and the age of the individual.

Understanding Knock Knees

Knock knees, also known as genu valgum, are a condition where the knees touch when standing straight, while the ankles remain separated. This is fairly common in young children and often corrects itself as they grow. However, if it persists into adolescence or adulthood, or is severe, treatment may be needed.

Methods to Correct Knock Knees

The approach to correcting knock knees varies based on several factors. Here are the main ways:

Observation and Monitoring

  • For Children: Mild cases in young children often resolve on their own as they grow. Regular monitoring by a pediatrician is usually sufficient. No treatment may be required at this stage.

Non-Surgical Interventions

While not always effective for correcting the alignment directly, these options can help manage symptoms:

  • Physical Therapy: Exercises to strengthen muscles around the hips, knees, and ankles can improve posture and balance, indirectly improving the appearance of knock knees and relieving pain.
  • Orthotics: Custom shoe inserts or braces can help support the feet and ankles, potentially alleviating discomfort and improving gait. However, these don't correct the underlying bone alignment.
  • Weight Management: If excess weight contributes to knock knees, losing weight can reduce stress on the joints and alleviate pain.

Surgical Correction

  • Osteotomy: For more severe cases, or knock knees that do not correct themselves, osteotomy surgery might be necessary. This is especially true when the condition persists after a child has stopped growing. The procedure involves the following:
    • Bone Realignment: A surgeon will cut the bone above or below the knee to change the angle and straighten the legs, according to the reference.
    • Goal: The main goal of osteotomy is to correct the leg's alignment, improving knee function and reducing pain or the risk of long-term joint issues.
    • Procedure Type: The surgeon will determine where to make the cuts (either above or below the knee) to achieve the best alignment.

Summary of Correction Methods

Method When is it used? How it works
Observation & Monitoring Mild cases in young children Regular check-ups to monitor natural correction
Physical Therapy Any age with mild discomfort Strengthening muscles around the knees and hips
Orthotics To alleviate discomfort, not correct alignment Provide support to feet and ankles
Weight Management If weight is a contributing factor Reduces stress on the joints
Osteotomy Severe cases, after growth is complete Cutting and realigning the bones to straighten the legs.

Conclusion

The correction of knock knees depends largely on the individual's age, the severity of the condition, and the underlying cause. While many cases correct themselves, others may require surgical intervention like osteotomy. Consult with a medical professional for a tailored approach.

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