By Damanrawat What is Knock Knee (Genu Valgum)?
Knock knee, medically referred to as genu valgum, is a condition where the knees touch or nearly touch while standing straight, while the ankles remain apart. This condition is often seen in young children and can correct itself as they grow. However, in some cases, knock knee may persist into adolescence or adulthood, resulting in discomfort and mobility problems that might require surgical correction.
What Causes Knock Knee?
Knock knee can result from several factors, including genetics, injuries, or developmental issues like rickets that affect bone growth. While minor cases of knock knee may not lead to major problems, severe cases can cause pain, walking difficulties, and joint instability.
Symptoms include:
- Knees turning inward when standing upright.
- Knee or hip pain after physical exertion.
- A distinct change in walking style or difficulty walking.
- Instability in the knee, leading to frequent falls or stumbles.
When is Knock Knee Surgery Needed?
Surgery is generally considered when knock knee leads to significant discomfort, limits day-to-day function, or when non-invasive treatments do not provide sufficient relief. In children, doctors may recommend waiting until they reach full skeletal maturity, as the condition may improve naturally. For adolescents and adults, if the condition persists or worsens, surgery might be necessary to correct the alignment and avoid long-term complications.
Surgical Options for Knock Knee Correction
There are several surgical techniques for correcting knock knee, depending on the patient’s age, severity of the condition, and the underlying cause of the deformity. The most common procedures include:
- Guided Growth Surgery:
Ideal for children and teenagers, guided growth surgery is a minimally invasive procedure that involves placing a small metal plate or screws on one side of the knee’s growth plate. As the child continues to grow, this device helps guide the bone’s development, slowly correcting the knee’s alignment. This method is typically used for early intervention and mild deformities.
- Osteotomy:
Osteotomy is a surgical procedure commonly used in older adolescents and adults. In this technique, the surgeon cuts and repositions the bone (usually the femur or tibia) to correct the alignment of the knee. The bones are then fixed with metal plates and screws for stability during the healing process. This procedure is particularly useful for patients with moderate to severe knock knee and those with minimal joint damage.
- Total Knee Replacement:
In advanced cases where the knee joint has been severely damaged due to long-standing misalignment, a total knee replacement may be required. During this procedure, the damaged joint is removed and replaced with a prosthetic implant. This option is typically reserved for patients experiencing significant pain and functional impairment, where other treatments are not suitable.
What to Expect After Knock Knee Surgery: Recovery and Rehabilitation
Post-surgical recovery is an essential phase of knock knee treatment. The recovery time and rehabilitation requirements will depend on the type of surgery and the patient’s overall health. The typical recovery process involves:
- Immediate Post-Surgery Care:
After surgery, patients usually remain in the hospital for several days for observation and pain management. Physical therapy often begins shortly after surgery to maintain joint flexibility and prevent stiffness.
- Using Mobility Aids:
Crutches or a walker may be necessary for a few weeks to help patients avoid placing weight on the operated leg. This allows the knee to heal properly without added stress.
- Physical Rehabilitation:
Rehabilitation exercises are crucial for restoring knee strength, flexibility, and range of motion. These exercises start with light movements and gradually increase in intensity as healing progresses, usually lasting for several months.
- Long-Term Healing:
Full recovery from knock knee surgery can take up to a year, though most patients experience significant improvement in pain relief and mobility within a few months. The success of recovery largely depends on the patient’s adherence to their rehabilitation program.
Cost of Knock Knee Surgery in Gurgaon
The knock knee surgery cost in Gurgaon can vary depending on multiple factors such as the type of surgery, hospital facilities, surgeon’s experience, and post-surgical care. In general, the cost ranges between INR 1.5 lakhs and 3 lakhs. This estimate includes pre-surgery evaluations, the surgery itself, anesthesia, hospital stay, and follow-up appointments. It’s advisable to consult with a medical professional to get a personalized quote. Some hospitals in Gurgaon also offer bundled packages that include physiotherapy and other post-operative care services, helping to reduce the overall cost.
Choosing the Right Surgeon and Facility for Knock Knee Surgery
Choosing a skilled surgeon and a reputable healthcare facility is critical to the success of knock knee surgery. Gurgaon offers a wide range of highly experienced orthopedic surgeons and modern hospitals that specialize in corrective procedures for knock knee. Here are some factors to consider when selecting a surgeon and hospital:
- Experience of the Surgeon:
It is essential to choose a surgeon with extensive experience in performing knock knee surgeries. A surgeon’s level of expertise can significantly impact the surgery’s success and the patient’s recovery speed.
- Reputation of the Hospital:
Look for hospitals that are known for their orthopedic departments and post-surgical care. A hospital with state-of-the-art facilities and a strong reputation for quality care can improve the overall outcome of the surgery.
- Patient Reviews and Testimonials:
Reading patient reviews and testimonials can provide insights into the surgeon’s skill and the hospital’s standard of care. Positive feedback and successful surgery outcomes are important indicators of a reliable medical facility.
- Clear Communication During Consultation:
During the consultation, the surgeon should clearly explain the procedure, risks, benefits, and recovery expectations. Open communication is key to ensuring that patients feel confident and informed about their treatment decisions.
Conclusion
Knock knee, if left untreated, can result in discomfort and mobility issues, affecting one’s quality of life. While non-surgical methods are often the first line of treatment, surgery becomes necessary for many individuals, particularly those with persistent or severe cases. Understanding the available surgical options, the recovery process, and the knock knee surgery cost in Gurgaon is essential for making an informed choice.
By choosing the right surgeon, hospital, and adhering to a structured post-surgical rehabilitation plan, patients can look forward to improved knee alignment, reduced pain, and enhanced mobility. If you or someone you know is considering knock knee surgery, consulting with a qualified orthopedic specialist in Gurgaon is the first step toward a more active and pain-free life.
