Kolana koślawe
Leczenie

Genu valgum, czyli kolana koślawe, charakteryzuje się przyśrodkowym ustawieniem kolan przy jednoczesnym rozstawieniu stóp. U dzieci do 7 roku życia deformacja ta jest najczęściej fizjologiczna i ulega samoistnej korekcji, zwłaszcza gdy kąt udowo-piszczelowy nie przekracza 15°. W przypadku patologicznych przyczyn, takich jak krzywica, konieczne jest leczenie przyczynowe (np. suplementacja witaminą D i wapniem). Leczenie zachowawcze obejmuje fizjoterapię ukierunkowaną na wzmacnianie mięśni czworogłowych, odwodzicieli i przywodzicieli bioder oraz stosowanie ortez i wkładek ortopedycznych, co poprawia stabilizację stawu i biomechanikę kończyny. Wskazaniem do interwencji chirurgicznej są m.in. kąt udowo-piszczelowy >15°, odległość międzykostkowa >8 cm, asymetryczna deformacja, ból lub ograniczenia funkcjonalne, a także brak poprawy do 7-8 roku życia. Hemiepifizyodeza, wykonywana przed dojrzałością szkieletową, umożliwia korekcję przez kontrolę wzrostu kości, z tempem korekcji 7°/rok w dystalnej kości udowej i 5°/rok w proksymalnej piszczelowej. Osteotomia dalszej części kości udowej (DFO) i/lub bliższej piszczelowej stosowana jest w cięższych deformacjach.

Leczenie kolana koślawe

Kolana koślawe (łac. genu valgum) to stan, w którym kolana są skierowane do wewnątrz i dotykają się, podczas gdy stopy pozostają rozstawione. Leczenie tej deformacji zależy od wielu czynników, w tym wieku pacjenta, nasilenia problemu oraz przyczyny leżącej u podłoża schorzenia. Korekcja deformacji poprawia mechanikę stawu kolanowego, zdolność chodzenia, zmniejsza ból oraz zapobiega szybkiemu postępowi uszkodzenia stawu kolanowego.1

Obserwacja i naturalne rozwiązanie

W większości przypadków, szczególnie u dzieci, kolana koślawe nie wymagają specjalistycznego leczenia, ponieważ stan ten zazwyczaj ulega samoistnemu wyrównaniu w trakcie wzrostu. Około 99% dzieci z fizjologicznym szpotawieniem kolan wyrasta z tego stanu do 7 roku życia.12 Obserwacja jest wskazana w przypadku fizjologicznego genu valgum lub gdy kąt udowo-piszczelowy wynosi mniej niż 15 stopni u dziecka w wieku 6 lat.3 W przypadku dzieci w wieku od 2 do 5 lat, najczęstszym podejściem terapeutycznym jest właśnie ścisła obserwacja.1

Leczenie stanów podstawowych

Jeżeli kolana koślawe są spowodowane chorobą podstawową lub infekcją, ta dolegliwość powinna być leczona przed jakąkolwiek korekcją ortopedyczną.1 Na przykład, w przypadku krzywicy, która może być przyczyną koślawych kolan, zaleca się suplementację witaminą D i wapniem.12 Dawka i czas trwania suplementacji powinny być ustalone przez chirurga ortopedę dziecięcego lub pediatrę.3

Metody leczenia zachowawczego

Dla łagodnych przypadków kolana koślawego u dzieci lub nastolatków może być zalecane leczenie zachowawcze. Te metody są również stosowane u dorosłych z łagodnymi do umiarkowanych objawami.

Fizjoterapia i ćwiczenia

Fizjoterapeuta może stworzyć indywidualny program treningowy wzmacniający mięśnie wokół kolan, bioder i ud. Ćwiczenia pomagają poprawić ustawienie nóg, równowagę i stabilność. Mogą one obejmować ćwiczenia wzmacniające mięśnie czworogłowe, ćwiczenia odwodzicieli i przywodzicieli bioder oraz rozciąganie napiętych mięśni.1 Ćwiczenia są często stopniowane, a ich intensywność zmienia się w miarę wzmacniania mięśni i poprawy stanu pacjenta.2

Wzmacnianie mięśni wokół kolan może pomóc w stabilizacji stawu kolanowego i poprawie ustawienia kości. Konkretne ćwiczenia mogą obejmować:

  • Rozciąganie motylka
  • Rozciąganie w siadzie z rotacją wewnętrzną
  • Chód kraba z taśmą oporową
  • Pojedynczy most z unoszeniem nogi
  • Otwieranie muszli z taśmą oporową
  • Przysiad z taśmą oporową
  • Pełny plank3

Ortezy i wkładki ortopedyczne

Noszenie ortezy lub urządzenia ortopedycznego może pomóc wspierać odpowiednie ustawienie i zmniejszyć nacisk na kolana w niektórych przypadkach. Te urządzenia mogą być szczególnie przydatne dla dzieci z kolanami koślawymi lub dla osób, które mają specyficzne problemy z ustawieniem.1 Dla dzieci z ciężkimi przypadkami, które nie reagują na inne metody leczenia, może być zalecany specjalny aparat ortopedyczny zakładany na noc.23

Wkładki ortopedyczne mogą również oferować dodatkowe wsparcie dla stóp i poprawiać ogólne ustawienie. Są one często zalecane dla dzieci z kolanami koślawymi, aby złagodzić nacisk na kolana i poprawić chód.1

Modyfikacje obuwia i kontrola wagi

Noszenie butów wspierających z odpowiednim podparciem łuku może poprawić ustawienie i złagodzić dyskomfort związany z kolanem koślawym. Do zapewnienia amortyzacji i wsparcia można stosować wkładki do butów lub ortezy.1 Utrzymanie zdrowej wagi pomaga zmniejszyć obciążenie kolan i poprawić dyskomfort. Jeśli to konieczne, utrata wagi poprzez połączenie diety i ćwiczeń może być pomocna.23

Kontrola bólu i urządzenia wspomagające

Leki przeciwbólowe, takie jak niesteroidowe leki przeciwzapalne (NLPZ), mogą pomóc zmniejszyć dyskomfort i stan zapalny związany z kolanem koślawym. Jednak przed przyjęciem jakiegokolwiek leku należy skonsultować się z lekarzem ortopedą.1 Czasami stosuje się również iniekcje, takie jak kwas hialuronowy lub kortykosteroidy, w celu leczenia bólu kolan i degeneracji związanej z tym stanem.2

Urządzenia wspomagające, takie jak laski lub kule, mogą zapewnić wsparcie i stabilność podczas chodzenia, zmniejszając obciążenie kolan.2

Leczenie chirurgiczne

Chirurgia jest zazwyczaj rozważana w ostateczności, gdy inne metody leczenia zawodzą lub gdy deformacja jest poważna i powoduje ból lub ograniczenia funkcjonalne.1 Jednakże w niektórych przypadkach może być konieczna korekcja chirurgiczna, szczególnie gdy stan nie ulega samoistnej poprawie.

Wskazania do leczenia operacyjnego

Leczenie chirurgiczne jest zalecane w przypadkach, gdy:

  • Kąt udowo-piszczelowy przekracza 15 stopni lub odległość międzykostkowa jest większa niż 8 cm1
  • Występuje znaczna deformacja, która nie poprawia się do wieku 7-8 lat2
  • Występuje asymetryczna deformacja (tylko po jednej stronie)3
  • Deformacja powoduje ból lub trudności w poruszaniu się4
  • Stan pojawia się po raz pierwszy w wieku nastoletnim lub dorosłym5
  • Istnieje ryzyko wczesnego rozwoju choroby zwyrodnieniowej stawów6

Chirurgia ukierunkowanego wzrostu

Ta procedura jest skuteczna, jeśli stan jest zdiagnozowany zanim pacjent osiągnie dojrzałość szkieletową.1 Operacja ukierunkowanego wzrostu (hemiepifizyodeza) pomaga skorygować kolana koślawe przez spowolnienie wzrostu kości po stronie zgięcia, dzięki czemu druga strona może się wyrównać. Chirurg wszczepia małe metalowe implanty po wewnętrznej stronie płytek wzrostu wokół kolan. Zewnętrzna strona kolan nadal będzie rosnąć, powodując, że nogi będą rosnąć prościej.12

Pacjenci muszą być ściśle monitorowani (co trzy do czterech miesięcy), aby zapewnić odpowiednią korekcję deformacji i uniknąć nadmiernej korekcji. Po osiągnięciu przez pacjenta neutralnej osi mechanicznej lub niewielkiej nadkorekcji do łagodnego genu varum, sprzęt jest usuwany.1 Tempo korekcji przy hemiepifizyodezie jest zmienne, z korekcją kątową wynoszącą 7 stopni rocznie w dystalnej części kości udowej i 5 stopni rocznie w proksymalnej części kości piszczelowej.2

Osteotomia

Osteotomia jest stosowana do korekcji poważniejszych deformacji lub koślawych kolan, które nie ulegają samoistnej poprawie do momentu zakończenia wzrostu dziecka. Celem tej procedury jest wyprostowanie nóg poprzez zmianę kąta kości. Chirurg dokonuje tego przez nacięcie i ponowne ustawienie kości powyżej lub poniżej kolana.1

Istnieją dwa główne rodzaje operacji leczenia koślawych kolan:

  • Osteotomia dalszej części kości udowej (DFO)
  • DFO w połączeniu z osteotomią bliższej części kości piszczelowej (osteotomia bliższej części kości piszczelowej)1

Osteotomia dalszej części kości udowej (DFO) polega na wykonaniu cięcia w kości udowej tuż powyżej kolana w celu zmiany kształtu kości i ponownego ustawienia całej kończyny.1 Decyzja o wyborze konkretnej procedury jest podejmowana na podstawie starannego planowania przedoperacyjnego i analizy kształtu kości.1

Wyniki i rehabilitacja pooperacyjna

Zdecydowana większość dzieci z kolanami koślawymi poprawia się bez leczenia i ma bardzo pozytywne długoterminowe rokowanie. W przypadku dzieci, które przechodzą operację z powodu ciężkich form tego stanu, rokowanie jest również doskonałe. Procedury chirurgiczne i niechirurgiczne są dość bezpieczne, a kości dzieci zwykle goją się szybciej i bardziej niezawodnie niż u dorosłych.1

Po operacji chirurg pediatryczny może zalecić proste ćwiczenia i fizjoterapię, aby poprawić siłę i zakres ruchu dziecka.1 Fizjoterapia odgrywa kluczową rolę w procesie rehabilitacji po operacji koślawych kolan. Pacjenci zwykle przechodzą ustrukturyzowany program fizjoterapii mający na celu wzmocnienie mięśni wokół kolan, poprawę elastyczności stawów i przywrócenie normalnych wzorców chodu.2

Okres rekonwalescencji po operacji korekcji koślawych kolan może wynosić od kilku tygodni do kilku miesięcy. Początkowa faza gojenia trwa około 4-6 tygodni. Pacjenci używają kul przez około 6 tygodni, wywierając tylko lekki nacisk na stopę dla zachowania równowagi. Fizjoterapia rozpoczyna się około dwa tygodnie po operacji, aby odbudować siłę. Pełna rekonwalescencja, w tym całkowite gojenie się kości, może zająć 6 miesięcy lub więcej, z zobowiązaniem do fizjoterapii w celu odzyskania mobilności.1

Leczenie kolana koślawego u dorosłych

U dorosłych kolana koślawe nie ustępują samoistnie, ale raczej mają tendencję do pogorszenia się, ponieważ zwyrodnienie stawów prowadzi do dalszego nieprawidłowego ustawienia. Kolana koślawe u dorosłych są niezależnym czynnikiem ryzyka degeneracji i bólu stawu kolanowego. Wykazano, że korekcja koślawych kolan przed wystąpieniem końcowego stadium zwyrodnienia stawów może opóźnić lub zapobiec konieczności całkowitej wymiany stawu kolanowego.1

Leczenie zachowawcze u dorosłych

Najlepsze niechirurgiczne leczenie dla pacjentów z kolanami koślawymi ma na celu zmniejszenie innych czynników ryzyka rozwoju choroby zwyrodnieniowej stawów w kolanie.1 Fizjoterapia może przynieść korzyści dorosłym z kolanami koślawymi, ponieważ pomaga poprawić siłę mięśni i stabilność stawów.2

W przypadkach, gdy otyłość przyczynia się do tego stanu, pracownicy służby zdrowia mogą zalecić utratę wagi i modyfikacje stylu życia w celu zmniejszenia stresu na stawach kolanowych.3 Do zarządzania bólem kolan i stanem zapalnym można stosować leki przeciwbólowe dostępne bez recepty, takie jak niesteroidowe leki przeciwzapalne (NLPZ).4

Wskazania do chirurgii u dorosłych

Chirurgia może być zalecana, jeśli Twój stan powoduje problemy zdrowotne fizyczne i/lub emocjonalne lub naraża Cię na ryzyko wczesnego wystąpienia choroby zwyrodnieniowej stawów lub innych powikłań.1 W ciężkich przypadkach genu valgum u dorosłych, interwencja chirurgiczna może być rozważana, gdy inne metody leczenia okażą się nieskuteczne, a stan znacząco wpływa na codzienne życie lub powoduje znaczny ból.1

Kolana koślawe mogą być korygowane chirurgicznie. Technika chirurgiczna może się różnić w zależności od wieku. Nie ma ustalonego limitu wieku dla operacji korekcyjnej koślawych kolan.1

Chirurgia wymiany stawu kolanowego

W ciężkich przypadkach kolana koślawego związanego z zaawansowaną chorobą zwyrodnieniową stawów, może być konieczna całkowita wymiana stawu kolanowego.1 Wymiana stawu kolanowego zapewnia korekcję deformacji, bezbolesne poruszanie się i szybszą rehabilitację.1

Robotyczna wymiana stawu kolanowego może pomóc poprawić ustawienie nóg i równowagę u starszych dorosłych z ciężkimi kolanami koślawymi. System robotyczny umożliwia precyzyjne umieszczenie implantu, co może prowadzić do mniejszych nacięć, mniejszego uszkodzenia tkanek i szybszego powrotu do zdrowia. Procedura ta pomaga zmniejszyć ból, poprawić ruch i przywrócić funkcję kolana, przywracając aktywny styl życia.1

Nowoczesne podejścia do leczenia

Z rozwojem technologii medycznej, pojawiają się nowe metody leczenia koślawych kolan, które oferują większą precyzję i lepsze wyniki.

Terapie urozmaicone

W niektórych przypadkach można zastosować ukłucia suche (dry needling) w celu skorygowania dysbalansu mięśniowego i delikatnego rozciągnięcia mięśni, co może prowadzić do natychmiastowej poprawy ustawienia nóg. W niektórych przypadkach mogą być również przepisane indywidualne ortezy, uzupełniające tę terapię.1

Fala uderzeniowa (shockwave) jest doskonałą alternatywą dla zabiegów takich jak ukłucia suche, jeśli pacjent obawia się igieł.2

Interdyscyplinarne podejście do leczenia

W przypadku złożonych przypadków, takich jak zwichnięta rzepka w połączeniu z deformacją kolana koślawego, wymagana jest specjalna uwaga, w tym zaangażowanie specjalistów specjalizujących się w rekonstrukcji rzepkowo-udowej. Te złożone procedury rekonstrukcji rzepkowo-udowej zapewniają kompleksową opiekę pacjentowi poprzez połączenie umiejętności dwóch ekspertów chirurgów. To zindywidualizowane podejście do leczenia doprowadziło do doskonałych wyników.1

Podiatria także może odgrywać istotną rolę w leczeniu koślawych kolan. Podiatrzy z doświadczeniem w rozwoju pediatrycznym mogą pomóc w korekcji stanów koślawych kolan w krótkim czasie, biorąc pod uwagę wtórne efekty koślawych kolan na stopy, biodra i kręgosłup.1

Podsumowanie i rekomendacje

Leczenie koślawych kolan zależy od indywidualnych czynników, takich jak wiek pacjenta, nasilenie deformacji i przyczyna leżąca u podstaw problemu. Dla większości dzieci kolana koślawe są normalną częścią rozwoju i ustępują samoistnie do 7 roku życia. Jednakże w przypadkach, gdy stan utrzymuje się lub powoduje ból i trudności w poruszaniu się, dostępne są różne opcje leczenia, od fizjoterapii i ortez po interwencje chirurgiczne.

U dorosłych kolana koślawe mogą prowadzić do rozwoju choroby zwyrodnieniowej stawów, dlatego wczesna interwencja jest kluczowa. Leczenie zachowawcze, takie jak fizjoterapia, kontrola wagi i modyfikacje stylu życia, może pomóc w łagodzeniu objawów i poprawie funkcji. W ciężkich przypadkach lub gdy leczenie zachowawcze zawodzi, dostępne są opcje chirurgiczne, w tym osteotomia i całkowita wymiana stawu kolanowego.

Kluczowe jest interdyscyplinarne podejście do leczenia koślawych kolan, angażujące różnych specjalistów, takich jak ortopedzi, fizjoterapeuci, podiatrzy i dietetycy, aby zapewnić kompleksową opiekę i osiągnąć najlepsze możliwe wyniki dla pacjentów.

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  1. 09.04.2026
  2. www.leksykon.com.pl

Materiały źródłowe

  • #1 Knock Knee: Causes, Symptoms, Diagnosis and Treatment | HSS
    https://www.hss.edu/condition-list_knock-knee.asp
    Correction of the deformity will improve knee mechanics and walking capability, reduce pain and prevent a rapid progression of damage to the knee. […] Surgery may be needed to treat the condition. […] If knock knee is caused by an underlying disease or infection, that condition will be addressed before any orthopedic correction begins. Treatment for mild cases of knock knee in children or adolescents may include braces to help bones grow in the correct position. […] If a gradual correction does not occur, surgery may be recommended.
  • #1 Knock Knees | Boston Children’s Hospital
    https://www.childrenshospital.org/conditions/knock-knees
    Knock knees are usually part of a child’s normal growth and development. Most young children have knock knees to some degree for a period of time, though in some children it is more visible. […] In most cases, children with knock knees do not need medical treatment. The most common treatment for children between 2 and 5 years old is close observation. Up to 99 percent of children with knock knees grow out of the condition by the time they turn 7. Children do not need to avoid physical activity, wear braces or special shoes, or do any special exercises. […] If your child has severe, unresolved knock knees, their doctor will first determine if this is part of another underlying condition. If so, treatment will focus on treating the underlying condition. For example, many cases of rickets can be treated with vitamin D and calcium supplementation.
  • #1 How to Fix Knock Knee Without Surgery | Cure My Knee
    https://curemyknee.com/blogs/how-to-fix-knock-knee-without-surgery/
    Knock Knee without surgery treatment focuses on addressing the underlying causes, strengthening the muscles around the knees, improving alignment, and relieving symptoms. Here are a few non-surgical treatments that are commonly used: […] Physiotherapy: A physiotherapist can create a customized training program to improve the muscles around the knees, hips, and thighs. These exercises aid in improving leg alignment, balance, and stability. They could include quadriceps strengthening exercises, hip abductor and adductor exercises, and tight muscle stretches. […] Bracing or orthotics: Wearing a brace or orthotic device can help support appropriate alignment and relieve stress on the knees in some circumstances. These gadgets can be very useful for children with knock knees or for people who have unique alignment concerns.
  • #1 Treatment for Knock Knees – Bone Island Children’s Clinic
    https://boneisland.sg/en/knock-knees/
    Physiotherapy: This can be an effective non-surgical treatment option for mild to moderate knock knees. A physiotherapist can design exercises and stretches to strengthen the muscles around the knee joint, improving stability and alignment. […] Orthotics: Custom-made orthotic insoles can offer extra support to the feet and improve overall alignment. They are frequently recommended for children with knock knees to alleviate stress on the knees and enhance their gait. […] Bracing: In some cases, especially for children, bracing may be advised. These knee braces or orthopedic devices can help guide the knees into a more normal alignment as the child grows. […] Surgical treatments […] In more severe cases or when knock knees are linked to other underlying conditions, surgical options may be considered. These procedures aim to correct bone alignment and promote proper growth and development.
  • #1 How to Fix Knock Knee Without Surgery | Cure My Knee
    https://curemyknee.com/blogs/how-to-fix-knock-knee-without-surgery/
    Modifications to footwear: Wearing supportive shoes with enough arch support can improve alignment and alleviate the discomfort associated with a knock knee. To offer cushioning and support, shoe inserts or orthotics might be employed. […] Weight control: Maintaining a healthy weight helps lessen knee stress and improve discomfort. If necessary, weight loss by a mix of diet and exercise can be helpful. […] Pain management: Discomfort medications, such as nonsteroidal anti-inflammatory medicines (NSAIDs), can help lessen the discomfort and inflammation associated with knock knee. However, before taking any drug, you should contact an orthopedic doctor. […] Assistive devices: Assistive aids, such as canes or crutches, can give support and stability while walking, minimizing strain on the knees.
  • #1 Knock Knees | We treat kids with this condition | Call Us
    https://medicalcitykidsortho.com/knock-knees/
    Physical therapy may be recommended if there is an underlying muscle imbalance contributing to knock knees. […] Surgical correction is generally considered a last resort and is only recommended in severe cases that cause pain or functional limitations and have not responded to other treatments. […] Surgery is not the first option for knock-knee patients. Doctors only perform surgery if pain-relieving measures, including stretching, exercise, and weight loss, are ineffective. […] A doctor could recommend a knee replacement under unusual circumstances. […] In nearly every instance of genu valgum, the ailment will go away before a child enters puberty. Stretches and exercises to realign the knees and ease discomfort are likely to be the most common kind of treatment for older children and adults. […] We strongly suggest seeing the experts who specialize in children like the Medical City Childrens Orthopedics and Spine Specialists.
  • #1 Treating Idiopathic Genu Valgum (Knock Knees)
    https://consultqd.clevelandclinic.org/treating-idiopathic-genu-valgum-knock-knees
    Growth modulation procedures are effective if the condition is diagnosed before the patient reaches skeletal maturity. […] Treatment is generally considered when the tibiofemoral angle is greater than 15 degrees or the intermalleolar distance is greater than 8 cm. […] The method of treating idiopathic genu valgum depends on both the timing of presentation and the severity of the deformity. Ideally, the condition is diagnosed before the child approaches skeletal maturity, allowing for simple growth modulation procedures as opposed to the more significant osteotomies required after physeal closure. […] Transient hemiepiphysiodesis is the most common of these growth modulation procedures. […] Patients must be followed closely (every three to four months) to ensure appropriate deformity correction and avoid overcorrection. Once the patient reaches a neutral mechanical axis or is slightly overcorrected to mild genu varum, the hardware is removed.
  • #1 Knock Knees | Boston Children’s Hospital
    https://www.childrenshospital.org/conditions/knock-knees
    In the rare event that natural growth doesn’t correct your child’s knock knees, their doctor may recommend surgery. […] Guided growth surgery corrects knock knees by slowing the growth on the bent side of the bone so the other side can catch up. The surgeon implants small metal devices on the inner side of the growth plates around the knees. The outer side of the knees will continue to grow, causing the legs to grow straighter. […] Osteotomy surgery can correct more severe deformities or knock knees that do not get better on their own by the time a child has finished growing. The goal of this procedure is to straighten the legs by changing the angle of the bones. A surgeon does this by cutting and realigning the bone above or below the knee. […] The vast majority of children with knock knees get better without treatment and have a very positive long-term outlook. For children who have surgery for severe forms of the condition, the outlook is also excellent. The surgical and non-surgical procedures are quite safe and children’s bones usually heal faster and more reliably than adults.
  • #1 Can Knock Knees Be Corrected in Adults? | HSS
    https://www.hss.edu/conditions_surgery-knock-knee-correction-adults.asp
    Knock knees can be surgically corrected. The surgical technique used may vary depending on age. […] The best nonsurgical treatments for patients with knock knees are aimed at reducing other risks of arthritis development in the knee. […] Surgery may be recommended if your condition is causing you physical and/or emotional health problems, or putting you at risk for early onset osteoarthritis or other complications. […] There are two main surgeries to treat knock knees: A distal femoral osteotomy (DFO), or a DFO combined with a high tibial osteotomy (an osteotomy of the proximal tibia). […] Distal femoral osteotomy, or DFO, surgery involves creating a cut in the femur just above the knee to reshape the bone and realign the entire limb. […] The decision is made based on careful preoperative planning and analysis of the shape of the bones. […] There is no fixed age limit for corrective surgery for knock knees. The surgical technique used may vary depending on age.
  • #1 Knock Knees MI | Genu Valgum Midland, MI
    https://www.sabinshahmd.com/knock-knees-orthopedic-sports-medicine-surgeon-grand-rapids-detroit-mi/
    Knock knees can be treated using a conservative approach or surgery. Your doctor will begin your child’s treatment using a conservative approach. This includes: […] Surgery is recommended for severe cases of knock knees and those which fail to heal by conservative management. The surgical procedure is called guided growth surgery. […] Following surgery, your pediatric surgeon may recommend simple exercises and physical therapy for your child to improve their strength and range of motion.
  • #1 How to Fix Knock Knees in Adults? – Dr Ugo IhekweazuAccessibility ToolsIncrease TextDecrease TextGrayscaleHigh ContrastNegative ContrastLight BackgroundLinks UnderlineReadable FontReset
    https://www.nextgenerationhipandknee.com/how-to-fix-knock-knees-in-adults/
    Knock knee surgery is done by an orthopedic surgeon to correct leg alignment. The success of the procedure depends on the type of surgery and the patient’s condition. During the surgery, the bone is cut and repositioned to correct the leg’s angle, then stabilized with plates and screws. Recovery includes partial weight-bearing and movement exercises to restore function. […] Recovery from knock knee surgery takes several weeks to months. The initial healing phase lasts about 4-6 weeks. Patients use crutches for around 6 weeks, placing only light pressure on the foot for balance. Physical therapy starts about two weeks after surgery to rebuild strength. Full recovery, including complete bone healing, can take 6 months or more, with a commitment to physical therapy for regaining mobility. […] Knock knees can be a source of pain and functional difficulties for many people. Fortunately, orthopedic surgeons can fix knock knees in adults with effective procedures. However, early intervention is important before the condition affects your quality of life.
  • #1 Knock Knees | International Center for Limb Lengthening
    https://www.limblength.org/conditions/knock-knees/
    The International Center for Limb Lengthening has taken care of many adults and children with knock knees. […] In adults, knock knees do not resolve spontaneously, but rather tend to worsen as arthritis leads to further malalignment. Knock knees in adults are an independent risk factor for knee joint degeneration and pain. It has been demonstrated that correction of knock knees prior to the onset of end stage arthritis can delay or prevent the need for total knee replacement. […] The aim of treatment will be to correct limb alignment, stop disease progression, and reduce the risk of joint degeneration. […] If medical treatment is not successful in getting the legs to straighten, then surgery may be required. In idiopathic cases (where the cause is unknown), treatment can be done surgically.
  • #1 Knock Knees (Genu Valgum): Types, Symptoms, Causes, Diagnosis & Treatment
    https://www.maxhealthcare.in/blogs/knock-knees
    Surgery for knock knees is rarely necessary, although it may be recommended if the condition is severe or persistent. […] There are several available treatment options for genu valgum in adults. […] The therapy can benefit adults with knock knees, as it helps improve muscle strength and joint stability. […] In cases where obesity contributes to the condition, healthcare professionals may recommend weight loss and lifestyle modifications to reduce stress on the knee joints. […] To manage knee pain and inflammation, over-the-counter pain relievers, such as nonsteroidal anti-inflammatory drugs (NSAIDs), can be considered. […] In severe instances of genu valgum in adults, surgical intervention may be considered when other treatments prove ineffective and the condition significantly affects daily life or causes substantial pain. […] When knock knees stem from an underlying medical condition, such as osteoarthritis or rheumatoid arthritis, it is crucial to focus on the appropriate treatment for the condition.
  • #1 Best Knock Knee Treatment in Delhi, India | Causes, Symptoms & Therapy | Max Hospital
    https://www.maxhealthcare.in/our-specialities/orthopaedics/conditions-treatments/knock-knees
    Medication: If the knock-knees are caused by an underlying condition like rickets, supplements such as vitamin D and calcium may be prescribed to address the deficiency. […] Weight Management: For overweight individuals, losing weight can significantly reduce the stress on the knees, potentially improving the condition or preventing it from worsening. […] Surgical Intervention: In severe cases or when other treatments have not been effective, surgery may be required. Surgical options include: […] Osteotomy: This procedure involves cutting and realigning the bones to correct the knee alignment. […] Guided Growth Surgery: Small metal plates are temporarily inserted near the growth plates to gradually correct bone growth in children. […] Total Knee Replacement: In adults with severe knock-knees due to arthritis, knee replacement surgery might be necessary. […] Each treatment plan is individualised, taking into account the specific needs and circumstances of the patient. Early intervention and appropriate management can lead to significant improvements in symptoms and quality of life.
  • #1 Knock Knee Deformity New York | Knee Specialist Bayside NY
    https://www.cortho.org/knee/knock-knee-deformity/
    Total knee replacement promises correction of deformity, pain-free mobility, and faster rehabilitation. […] Total knee replacement offers an excellent treatment for knock knee deformity secondary to arthritis. […] The recovery process for knock knee deformity typically involves several key steps aimed at restoring proper knee alignment, function, and overall mobility. […] Rehabilitation plays a crucial role in the recovery process for knock knee deformity. […] Patients will typically undergo a structured physical therapy program aimed at strengthening the muscles around the knees, improving joint flexibility, and restoring normal gait patterns. […] If you notice signs of knock knee deformity in yourself or your child, seek medical attention promptly. […] Early intervention can lead to better outcomes and prevent the condition from worsening.
  • #1 How to Fix Knock Knees in Adults? – Dr Ugo IhekweazuAccessibility ToolsIncrease TextDecrease TextGrayscaleHigh ContrastNegative ContrastLight BackgroundLinks UnderlineReadable FontReset
    https://www.nextgenerationhipandknee.com/how-to-fix-knock-knees-in-adults/
    Surgery is usually considered for severe cases or when other treatments fail. An osteotomy, such as distal femoral osteotomy (DFO) or high tibial osteotomy (HTO), involves cutting and reshaping the bone to realign the leg, secured with plates and screws. […] Robotic knee replacement can help improve leg alignment and balance for older adults with severe knock knees. The robotic system makes precise implant placement possible, which can lead to smaller incisions, less tissue damage, and faster recovery. This procedure helps reduce pain, improve movement, and restore knee function, bringing back your active lifestyle. […] Fixing knock knees is important because the condition can cause joint pain, arthritis, and mobility problems over time. Unlike in children, knock knees in adults don’t go away on their own and can worsen as arthritis develops. Treating the issue early can help prevent severe joint damage. Otherwise, you may need a total knee replacement in the future.
  • #1 Knock knees (Genu Valgum) – Erica Dash Podiatry
    https://www.epodiatry.com.au/knock-knees/
    If your knock knees have persisted beyond infancy into teenage years, or even adulthood, some of the podiatrists at Erica Dash Podiatry have done further studies and are able to dry needle to correct muscle imbalances and perform a gentle stretch on your muscles; and have you walking out of the clinic with straight legs on the same day. […] In some cases, custom orthotics may also be prescribed to compliment this therapy. […] Shockwave is a great alternative to treatments such as dry needling if you’re needle phobic and not keen on dry needling.
  • #1 Knock Knees | Fix Knock Knees | Dr. Fragomen
    https://www.drfragomen.com/knock-knees
    Each patient is an individual with a unique alignment that requires careful evaluation and customized surgical planning. The origin of the valgus, the relative limb lengths, the presence of other problems like rotational deformities or patellar instability, and specific patient factors will weigh into the decision of which bone to correct and which metal device to use. […] […] The presence of a dislocating kneecap along with knock knee deformity requires special attention including the recruitment of colleagues specialized in patellofemoral reconstruction. […] […] These complex patellofemoral reconstruction procedures provide comprehensive care to the patient by pooling the skill sets of two expert surgeons. This individualized treatment approach has led to outstanding results.
  • #1 Knock Knees | Lower Limb Specialist Centre
    https://www.eastcoastpodiatry.sg/knock-knees/
    Knock-knees, or genu valgum, is an angular deformity that can be seen when a child stands with their back and legs straight; their knees touch, but the feet do not. […] Mild knock knees can be a physiological variant of growth. However medical attention is warranted in children who develop symptoms, who present with asymmetrical knee position, or those with pronounced severity. In rare cases, knock knees may be caused by underlying bone disease, particularly if the condition first presents at the age of 6 or above. Surgery may be needed for such cases. Podiatrists with experience in paediatric development can help correct knock knees conditions in short amounts of time, taking into consideration the secondary effects of knock knees on the feet, hips and spine. […] The type of intervention depends on the age of the child, the severity, and the impact on the child’s daily life. For infants below the age of 2, immediate serial casting of the knees is recommended to correct abnormal bone development. This is best carried out before the child is walking. If the child is walking already, then knee braces may be a suitable alternative for guiding the bone development into correct alignment.
  • #2 Knock Knees (Genu Valgum) (for Parents) | Nemours KidsHealth
    https://kidshealth.org/en/parents/knock-knees.html
    Most kids who have knock knees from normal growth and development dont need treatment. It usually corrects itself as the child grows. […] Severe knock knees or knock knees that are worse on one side sometimes do need treatment. In the past, kids with knock knees might wear braces and shoe inserts. They were found to not be helpful so are no longer used. […] In rare cases where children have symptoms such as pain or trouble running, doctors might suggest surgery after age 10. […] To treat knock knees from rickets, doctors usually recommend adding vitamin D and calcium to the childs diet. Some kids with Rickets might need to see a specialist. Rickets due to a genetic condition may need more specialized treatment by an endocrinologist (a doctor who treats diseases of the endocrine system).
  • #2 KNOCK KNEES (GENU VALGUM): SYMPTOMS, CAUSES, DIAGNOSES, AND TREATMENT | Mya Care
    https://myacare.com/blog/knock-knees-genu-valgum-symptoms-causes-diagnoses-and-treatment
    Knock knees, or genu valgum, is abnormal knee alignment that is frequently seen in children, and less commonly in adults. […] Treating pathologic knock knees early can help prevent future complications (like osteoarthritis) and deformities. Treatment options include corrective surgery, physical therapy, and lifestyle changes. […] Treating pathologic knock knees early on can prevent permanent deformity and later development of osteoarthritis (joint damage). Knock knees are treated by treating the causative medical condition along with some lifestyle changes and conservative therapies. In some cases, however, surgery might be the only option available to correct the deformity: […] Treatment of knock knees starts with treating the underlying cause. For example, vitamin D and calcium supplements are given to those who have rickets. Anti-inflammatory and immune-modulating drugs are prescribed for rheumatoid arthritis.
  • #2 Knock Knees | OrthoNeuro
    https://orthoneuro.com/knee/knock-knees/
    Knock knees can affect your gait, leading to painful and disruptive symptoms, including knee pain, limping, stiff joints, and reduced balance. […] The orthopedic knee specialists at OrthoNeuro offer highly personalized treatments to correct knock knees. […] Your physician may suggest physical therapy. Exercises and stretches can strengthen your leg muscles and lead to knee realignment. […] Physical therapy is often progressive, with the activities and intensity changing as you get stronger and your condition resolves. […] Your doctor may also suggest orthotics, braces, or splints in order to address limb length differences and gait issues while helping your leg bones move into the correct position. […] If you have severe knock knees or non-invasive treatments haven’t relieved your pain or other symptoms, you may need surgery. […] Yes, the orthopedic knee experts at OrthoNeuro can correct knock knees in adults. […] You are more likely to need surgical correction as your bones are no longer growing, limiting the effectiveness of braces and other corrective therapies.
  • #2 Knock Knees: Informative Article MSK Clinic Manchester Burnley
    https://mymskclinic.co.uk/knock-knees/
    Knock knees can disrupt this alignment and cause problems such as knee and ankle pain and even cause instability. […] Treatment for knock knees depends on the severity of the condition and the presence of any associated symptoms. […] However, in cases where knock knees persist into adulthood or cause discomfort, treatment options may include physical therapy, knee braces or surgery. […] In most cases, knock knees do not require surgery and can be treated with non-surgical methods. […] Non-surgical treatments include exercises, braces, orthotics and weight loss. […] Exercises aim to help align the knees. […] Braces can be used to correct knock knees in children. Braces work by applying pressure to the knees to help straighten them. […] Orthotics can also be used. Orthotics with arch supports and cushioned soles can help improve the alignment of the legs.
  • #2 How to Fix Knock Knee Without Surgery | Cure My Knee
    https://curemyknee.com/blogs/how-to-fix-knock-knee-without-surgery/
    Modifications to footwear: Wearing supportive shoes with enough arch support can improve alignment and alleviate the discomfort associated with a knock knee. To offer cushioning and support, shoe inserts or orthotics might be employed. […] Weight control: Maintaining a healthy weight helps lessen knee stress and improve discomfort. If necessary, weight loss by a mix of diet and exercise can be helpful. […] Pain management: Discomfort medications, such as nonsteroidal anti-inflammatory medicines (NSAIDs), can help lessen the discomfort and inflammation associated with knock knee. However, before taking any drug, you should contact an orthopedic doctor. […] Assistive devices: Assistive aids, such as canes or crutches, can give support and stability while walking, minimizing strain on the knees.
  • #2 Knock Knees: Informative Article MSK Clinic Manchester Burnley
    https://mymskclinic.co.uk/knock-knees/
    Weight loss can be an effective non-surgical treatment. […] In severe cases of knock knees, surgery may be necessary to correct the condition. […] In many cases, they can be helped without surgery through physical therapy, braces, or orthotics. […] However, in severe cases, surgery may be necessary to realign the bones and joints. […] Certain injections such as hyaluronic acid/Corticosteroids may be used to treat knee pain and degeneration associated with the condition.
  • #2
    https://www.orthobullets.com/pediatrics/4052/genu-valgum-knocked-knees
    Genu Valgum is a normal physiologic process in children which may also be pathologic if associated with skeletal dysplasia, physeal injury, tumors or rickets. […] Treatment is observation for genu valgum 15 degrees in a child 7 years of age. Surgical management is indicated for severe and progressive genu valum in a child 7 years of age. […] Nonoperative indications include first line treatment for tibiofemoral angle 15 degrees in children 7 years of age. […] The vast majority of physiological genu valgum will resolve spontaneously. […] Medical management of underlying etiology may slow progression. […] Bracing may provide temporary relief but is an ineffective long-term solution. […] Operative indications include tibiofemoral angle 15 degrees, intramalleolar distance of 10 cm after age 10 years, and rapidly progressive deformity after age of 7.
  • #2
    https://www.shrinerschildrens.org/en/pediatric-care/genu-valgum
    A condition that causes the knees to tilt inward while the ankles remain spaced apart, knock knees (genu valgum), are a common part of the growth and development process. […] Specific treatments and services may vary by location. Please contact a specific location for more information. […] Our physicians treat children with knock knees through close observation. However, if your child never grows out of knock knees, their physician might recommend a different treatment sometimes involving surgery. Read about the most common surgical options below. […] Guided growth surgery helps correct knock knees by slowing bone growth on the bent side of the leg so the other side can catch up. During this procedure, a pediatric orthopedic surgeon places small metal devices on the inner side of the growth plates around the knees, leaving the outer side to continue growing straight. […] To correct more severe knock knees, our physicians might suggest an osteotomy to straighten the legs by changing the angle of the bones. During this procedure an orthopedic surgeon cuts and realigns the bones above or below the knees.
  • #2
    https://www.orthobullets.com/pediatrics/4052/genu-valgum-knocked-knees
    Eight-plate hemiepiphysiodesis has a 95% complete correction rate for idiopathic cases and 80% for pathological cases. […] The rate of correction with hemiepiphysiodesis is variable, with angular correction of 7 degrees per year at the distal femur and 5 degrees per year at the proximal tibia. […] Osteotomy is indicated for insufficient remaining growth to correct deformity with hemiepiphysiodesis, in skeletally mature patients, or when there is a non-functional growth plate.
  • #2 Knock Knee Deformity New York | Knee Specialist Bayside NY
    https://www.cortho.org/knee/knock-knee-deformity/
    Total knee replacement promises correction of deformity, pain-free mobility, and faster rehabilitation. […] Total knee replacement offers an excellent treatment for knock knee deformity secondary to arthritis. […] The recovery process for knock knee deformity typically involves several key steps aimed at restoring proper knee alignment, function, and overall mobility. […] Rehabilitation plays a crucial role in the recovery process for knock knee deformity. […] Patients will typically undergo a structured physical therapy program aimed at strengthening the muscles around the knees, improving joint flexibility, and restoring normal gait patterns. […] If you notice signs of knock knee deformity in yourself or your child, seek medical attention promptly. […] Early intervention can lead to better outcomes and prevent the condition from worsening.
  • #2 Knock Knees (Genu Valgum): Types, Symptoms, Causes, Diagnosis & Treatment
    https://www.maxhealthcare.in/blogs/knock-knees
    Surgery for knock knees is rarely necessary, although it may be recommended if the condition is severe or persistent. […] There are several available treatment options for genu valgum in adults. […] The therapy can benefit adults with knock knees, as it helps improve muscle strength and joint stability. […] In cases where obesity contributes to the condition, healthcare professionals may recommend weight loss and lifestyle modifications to reduce stress on the knee joints. […] To manage knee pain and inflammation, over-the-counter pain relievers, such as nonsteroidal anti-inflammatory drugs (NSAIDs), can be considered. […] In severe instances of genu valgum in adults, surgical intervention may be considered when other treatments prove ineffective and the condition significantly affects daily life or causes substantial pain. […] When knock knees stem from an underlying medical condition, such as osteoarthritis or rheumatoid arthritis, it is crucial to focus on the appropriate treatment for the condition.
  • #2 Knock knees (Genu Valgum) – Erica Dash Podiatry
    https://www.epodiatry.com.au/knock-knees/
    If your knock knees have persisted beyond infancy into teenage years, or even adulthood, some of the podiatrists at Erica Dash Podiatry have done further studies and are able to dry needle to correct muscle imbalances and perform a gentle stretch on your muscles; and have you walking out of the clinic with straight legs on the same day. […] In some cases, custom orthotics may also be prescribed to compliment this therapy. […] Shockwave is a great alternative to treatments such as dry needling if you’re needle phobic and not keen on dry needling.
  • #3 Genu Valgum – StatPearls – NCBI Bookshelf
    https://www.ncbi.nlm.nih.gov/books/NBK559244/
    Genu valgum (knocked knees) is part of the coronal plane deformities of the lower extremity. […] This activity reviews the evaluation and treatment of genu valgum and highlights the role of the interprofessional team in the care of patients with this condition. […] Outline the treatment options for genu valgum. […] Observation is indicated for physiologic genu valgum or if the tibiofemoral angle is 15 degrees in a child 6 years of age. The use of bracing is typically not indicated in treating genu valgum. […] Guided growth with hemiepiphysiodesis is typically used to correct angular deformities. […] Osteotomies about the distal femur are also used in the treatment of genu valgum. […] Further, hemiepiphysiodesis is the treatment of choice in patients who are skeletally immature and osteotomies in patients who are skeletally mature.
  • #3 Knock Knees Treatment (Genu Valgum), Symptoms & Causes | Trishla Ortho
    https://www.trishlaortho.com/knock-knees-genu-valgum-diagnosis-treatments/
    Knock Knees Treatment depends on the cause and severity of the condition. Knee Knock problem is physiological between 3-6 years of age and it corrects naturally with age. For specialized care and assessment, consulting a pediatric orthopedic surgeon in India can provide the necessary expertise and treatment options. […] Non surgical treatment : Due to vitamin D deficiency, its severity may be exaggerated so rapid progression in early age may indicate some other problem. Children with Vit D deficiency should be supplemented with VIt-D. Dose and duration will be decided by a paediatric orthopaedic surgeon or paediatrician. […] Many braces are prescribed but child may not be comfortable to wear. This braces has to be used during 20 hours in a day so most of time it is not feasible. […] If genu valgus appear in teen age or later then non-surgical method dont help.
  • #3 7 Most Effective Exercises for Knock Knees – Your Physio
    https://yourphysio.my/exercises-knock-knees/
    Can Knock Knee be corrected in adults? Yes, below are the 7 most effective corrective exercises: […] 1. Butterfly stretch […] Seated internal rotation stretch […] Crab walk with resistance band […] Single glute bridge hold with leg raise […] Clam with resistance band […] Resistance band squat […] Full plank […] Rest 1 2 minutes in between exercises and perform 3 sets.
  • #3 Knee Angular Deformities New York | Knock Knees Treatment New York | NY
    https://www.andrewfeldmanmd.com/knee-angular-deformities.html
    Most children with knock knees do not require any treatment, but if the condition persists after age 7, then a night brace attached to an orthopedic shoe may be recommended. If the separation between the ankles is severe, surgery may be an option.
  • #3 Knock Knees: Informative Article MSK Clinic Manchester Burnley
    https://mymskclinic.co.uk/knock-knees/
    Weight loss can be an effective non-surgical treatment. […] In severe cases of knock knees, surgery may be necessary to correct the condition. […] In many cases, they can be helped without surgery through physical therapy, braces, or orthotics. […] However, in severe cases, surgery may be necessary to realign the bones and joints. […] Certain injections such as hyaluronic acid/Corticosteroids may be used to treat knee pain and degeneration associated with the condition.
  • #3 Knock Knees Treatment (Genu Valgum), Symptoms & Causes | Trishla Ortho
    https://www.trishlaortho.com/knock-knees-genu-valgum-diagnosis-treatments/
    Surgical Treatment: Indication: Progressive genu valgus beyond the age of 7 year […] Sever genu valgus deformity even in younger age […] First-time develop in teen age or adult […] Only one side […] Pain in knee join with genu valgus deformity. […] Type of surgery: Guided Growth: In this operation growing area (distal femoral physis) of thigh bone near knee joint is being modulated by the use of plate / screw. […] This surgery can only be done in when sufficient growth is remaining with child. […] This surgery cannot be done growth of bone slow down. […] Child can start walking within 2 days once his pain subside? Child can join school / sport with in week. […] Osteotomy: In Osteotomy Orthopedic Surgery, small wedge of bone will be removed after cutting the bone. […] This surgery is performed in adult and teenager with insufficient growth remaining ( 14 year age). […] Physical therapy will be done to regain movement after surgery.
  • #3 Knock Knees (Genu Valgum): Types, Symptoms, Causes, Diagnosis & Treatment
    https://www.maxhealthcare.in/blogs/knock-knees
    Surgery for knock knees is rarely necessary, although it may be recommended if the condition is severe or persistent. […] There are several available treatment options for genu valgum in adults. […] The therapy can benefit adults with knock knees, as it helps improve muscle strength and joint stability. […] In cases where obesity contributes to the condition, healthcare professionals may recommend weight loss and lifestyle modifications to reduce stress on the knee joints. […] To manage knee pain and inflammation, over-the-counter pain relievers, such as nonsteroidal anti-inflammatory drugs (NSAIDs), can be considered. […] In severe instances of genu valgum in adults, surgical intervention may be considered when other treatments prove ineffective and the condition significantly affects daily life or causes substantial pain. […] When knock knees stem from an underlying medical condition, such as osteoarthritis or rheumatoid arthritis, it is crucial to focus on the appropriate treatment for the condition.
  • #4 Knock Knee: Causes, Symptoms, Diagnosis and Treatment | HSS
    https://www.hss.edu/condition-list_knock-knee.asp
    Correction of the deformity will improve knee mechanics and walking capability, reduce pain and prevent a rapid progression of damage to the knee. […] Surgery may be needed to treat the condition. […] If knock knee is caused by an underlying disease or infection, that condition will be addressed before any orthopedic correction begins. Treatment for mild cases of knock knee in children or adolescents may include braces to help bones grow in the correct position. […] If a gradual correction does not occur, surgery may be recommended.
  • #4 Knock Knees (Genu Valgum): Types, Symptoms, Causes, Diagnosis & Treatment
    https://www.maxhealthcare.in/blogs/knock-knees
    Surgery for knock knees is rarely necessary, although it may be recommended if the condition is severe or persistent. […] There are several available treatment options for genu valgum in adults. […] The therapy can benefit adults with knock knees, as it helps improve muscle strength and joint stability. […] In cases where obesity contributes to the condition, healthcare professionals may recommend weight loss and lifestyle modifications to reduce stress on the knee joints. […] To manage knee pain and inflammation, over-the-counter pain relievers, such as nonsteroidal anti-inflammatory drugs (NSAIDs), can be considered. […] In severe instances of genu valgum in adults, surgical intervention may be considered when other treatments prove ineffective and the condition significantly affects daily life or causes substantial pain. […] When knock knees stem from an underlying medical condition, such as osteoarthritis or rheumatoid arthritis, it is crucial to focus on the appropriate treatment for the condition.
  • #5 Knock Knees Treatment (Genu Valgum), Symptoms & Causes | Trishla Ortho
    https://www.trishlaortho.com/knock-knees-genu-valgum-diagnosis-treatments/
    Surgical Treatment: Indication: Progressive genu valgus beyond the age of 7 year […] Sever genu valgus deformity even in younger age […] First-time develop in teen age or adult […] Only one side […] Pain in knee join with genu valgus deformity. […] Type of surgery: Guided Growth: In this operation growing area (distal femoral physis) of thigh bone near knee joint is being modulated by the use of plate / screw. […] This surgery can only be done in when sufficient growth is remaining with child. […] This surgery cannot be done growth of bone slow down. […] Child can start walking within 2 days once his pain subside? Child can join school / sport with in week. […] Osteotomy: In Osteotomy Orthopedic Surgery, small wedge of bone will be removed after cutting the bone. […] This surgery is performed in adult and teenager with insufficient growth remaining ( 14 year age). […] Physical therapy will be done to regain movement after surgery.
  • #6 Can Knock Knees Be Corrected in Adults? | HSS
    https://www.hss.edu/conditions_surgery-knock-knee-correction-adults.asp
    Knock knees can be surgically corrected. The surgical technique used may vary depending on age. […] The best nonsurgical treatments for patients with knock knees are aimed at reducing other risks of arthritis development in the knee. […] Surgery may be recommended if your condition is causing you physical and/or emotional health problems, or putting you at risk for early onset osteoarthritis or other complications. […] There are two main surgeries to treat knock knees: A distal femoral osteotomy (DFO), or a DFO combined with a high tibial osteotomy (an osteotomy of the proximal tibia). […] Distal femoral osteotomy, or DFO, surgery involves creating a cut in the femur just above the knee to reshape the bone and realign the entire limb. […] The decision is made based on careful preoperative planning and analysis of the shape of the bones. […] There is no fixed age limit for corrective surgery for knock knees. The surgical technique used may vary depending on age.