All You Need to Know About Knock Knee Surgery: Treatment

Understanding knock knee surgery (Genu Valgum)

knock knee surgery, known medically as genu valgum, is a condition where the knees angle inward, causing them to touch while the ankles remain apart. It is commonly seen in children and may self-correct with growth. However, if the condition continues into adolescence or adulthood, it can lead to discomfort, gait issues, and pain, making surgical intervention a viable option to realign the legs.

Primary Causes of Knock Knee

Several factors can contribute to knock knee, such as:

• Genetics: Hereditary predisposition can increase the likelihood of developing knock knees.
• Nutritional Deficiencies: Conditions like rickets, caused by a deficiency of vitamin D, can hinder proper bone growth and alignment.
• Injuries: Trauma to the legs or knees can disrupt normal bone growth, leading to knock knee.
• Medical Conditions: Underlying conditions such as osteoarthritis or metabolic disorders can also contribute to knock knee in adulthood.

Recognizing the Symptoms of Knock Knee

The key indicator of knock knee is inward-angled knees that touch even when the ankles are apart. Other common symptoms include:

• Pain in the knees, hips, or legs.
• Difficulty in maintaining balance or walking comfortably.
• An unusual gait or posture issues.
• Potential joint strain or arthritis if left untreated.

When Should Surgery Be Considered?

In children, knock knee often corrects naturally with growth. However, if the condition persists into the teenage years or adulthood, or if it causes pain and walking difficulties, surgery may be recommended. Doctors usually advise surgical treatment when conservative methods like physical therapy or corrective braces are not effective.

Types of Knock Knee Surgeries

Based on the severity and patient’s age, there are different surgical procedures to correct knock knee:

1. Guided Growth Surgery:This minimally invasive surgery is most effective for children and teenagers who are still growing. A small metal plate or screw is implanted to guide the bones to realign as the child grows. This gradual correction method is successful if performed at an early stage of growth.
2. Osteotomy:Commonly performed on older teens and adults, osteotomy involves cutting and realigning the femur (thigh bone) or tibia (shin bone). Plates and screws are used to hold the repositioned bones in place during recovery. This method is effective for severe cases and provides long-term results.
3. Total Knee Replacement:This procedure is reserved for patients with severe knock knee and joint damage. It involves replacing the damaged knee joint with an artificial implant, commonly recommended for older individuals or those with arthritis.

Pre-Surgery Preparation and Evaluation

Before surgery, a thorough evaluation, including X-rays and physical examinations, is conducted to determine the best surgical approach. Pre-surgery preparation involves:

• Avoiding specific medications as advised by the doctor.
• Following fasting guidelines to prepare for anesthesia.
• Arranging post-operative care and support.

What to Expect During the Recovery Period

The recovery period varies based on the type of surgery performed. Here’s an overview of the recovery process:

1. Hospital Stay and Initial Care:Patients are usually required to stay in the hospital for a few days post-surgery. Pain management and early physical therapy help maintain joint flexibility and promote healing.
2. Use of Mobility Aids:Crutches, knee braces, or walkers may be necessary to support the patient’s movement and reduce pressure on the healing knee.
3. Physical Rehabilitation:Physical therapy is crucial for regaining knee strength and flexibility. It begins with mild exercises to restore motion and gradually intensifies as recovery progresses.
4. Long-Term Healing:Full recovery can take six months to a year, depending on the procedure and the patient’s health. Regular checkups and adherence to physical therapy are essential to a successful outcome.

Knock Knee Surgery Cost in Gurgaon

The knock knee surgery cost in Gurgaon typically ranges from INR 1.5 lakhs to 3 lakhs. This estimate includes diagnostic tests, surgeon fees, hospital stays, and follow-up care. Costs may vary based on the hospital, type of surgery, and surgeon’s expertise. Some hospitals may offer comprehensive packages that include rehabilitation and post-operative therapy.

Selecting the Right Surgeon and Hospital

Choosing a qualified medical team is vital for successful surgery. Here are some factors to consider:

1. Surgeon’s Specialization:It’s crucial to select a surgeon who specializes in orthopedic surgery, particularly in procedures that correct knock knees.
2. Hospital Infrastructure:Opt for a hospital that offers advanced orthopedic care, modern facilities, and experienced staff to ensure quality treatment and post-operative support.
3. Patient Reviews and Success Stories:Reading testimonials and reviews from former patients can help you gauge the hospital’s reputation and the surgeon’s success rates.
4. Consultation and Clear Communication:A consultation session with the surgeon should cover all details about the surgery, including risks, recovery expectations, and expected outcomes. Clear communication will help you feel more confident in your choice.

Non-Surgical Management Options for Knock Knee

For less severe cases, non-surgical approaches can help manage knock knee symptoms. These include:

• Physical Therapy: Exercises to strengthen the muscles around the knee can help alleviate discomfort and improve alignment.
• Orthotic Devices: Shoe inserts or braces can correct minor alignment issues and provide pain relief.
• Weight Management: Reducing excess weight can significantly decrease pressure on the knees, improving mobility and minimizing symptoms.

While these options won’t entirely correct the condition, they can offer relief and improved mobility for those with mild knock knees.

Conclusion: Is Knock Knee Surgery Right for You?

If left untreated, knock knee can cause long-term complications such as chronic pain and joint damage. For those whose condition doesn’t improve with non-surgical treatments, surgery is often the best option to achieve proper alignment and reduce discomfort. The choice of surgical procedure depends on the patient’s age and the severity of the condition.

Understanding the different options, recovery process, and knock knee surgery cost in Gurgaon is essential in making informed decisions. With the right surgeon, proper facilities, and a dedicated rehabilitation plan, patients can look forward to a significant improvement in leg alignment, pain reduction, and overall quality of life. Consult with an orthopedic specialist to explore the best treatment options for your specific needs.