Understanding Knock Knee (Genu Valgum)

Knock knee, also called genu valgum, is a condition where the knees bend inward, causing them to touch or almost touch while standing straight, with the ankles remaining apart. It’s common in children and often corrects itself as they grow. However, when the condition persists into adolescence or adulthood, it may cause discomfort, difficulty walking, and, in severe cases, require surgical treatment to correct the leg alignment.

What Causes Knock Knees?

Several factors can contribute to knock knee, including:

• Genetics: Hereditary factors can play a role in the development of knock knee.
• Bone Development Issues: Conditions like rickets, caused by vitamin D deficiency, can lead to poor bone growth, contributing to knock knees.
• Injury: Trauma to the knee or leg bones can cause misalignment, resulting in knock knees.
• Medical Conditions: Certain conditions, like arthritis or bone infections, can cause knock knees in adulthood.

Symptoms of Knock Knee

The primary symptom of knock knee is the inward angle of the knees, creating a gap between the ankles. Other symptoms might include:

• Knee, hip, or leg pain.
• Difficulty walking or discomfort after physical activity.
• Reduced balance, increasing the risk of falls.
• Over time, it can lead to early joint problems like arthritis.

When Should You Consider Knock Knee Surgery?

In children, mild knock knee often resolves naturally. However, in cases where knock knee persists into adulthood or causes significant discomfort, pain, or mobility issues, surgery may be necessary. Surgery is often recommended if non-invasive treatments, such as physical therapy or braces, do not alleviate the symptoms or improve the alignment.

Types of Knock Knee Surgical Procedures

There are several types of surgeries available to correct knock knee, depending on the patient’s age and severity of the condition:

1. Guided Growth Surgery:

   This is a minimally invasive procedure typically performed on children and teenagers who are still growing. A small plate or screw is placed near the knee growth plate to guide bone development and gradually correct the knee’s alignment as the child grows. This procedure is most effective if done early, while growth is still ongoing.

2. Osteotomy:

   Osteotomy is a surgery usually performed on older teens and adults. In this procedure, the surgeon cuts and repositions the femur (thigh bone) or tibia (shin bone) to correct the knee’s alignment. The bones are held in place with screws and plates. This surgery is often performed on patients with moderate to severe knock knee and is a more invasive solution than guided growth surgery.

3. Total Knee Replacement:

   In severe cases of knock knee, especially when accompanied by joint damage or arthritis, a total knee replacement may be necessary. This procedure involves removing the damaged joint and replacing it with an artificial joint. This option is usually considered for older patients with significant joint wear.

Pre-Surgery Preparations

Before knock knee surgery, patients undergo thorough evaluations, including X-rays and physical exams, to determine the best course of action. Pre-surgery steps include:

• Ceasing the use of certain medications that may interfere with the surgery.
• Fasting for a specified amount of time before the operation.
• Making arrangements for post-operative care, as recovery can be a lengthy process.

Recovery After Knock Knee Surgery

The recovery period following knock knee surgery can vary based on the procedure. Here’s what patients can expect during the healing process:

1. Hospital Stay and Immediate Post-Surgery Care:

   After surgery, patients typically stay in the hospital for a few days to monitor their condition and manage pain. Early physical therapy may begin to keep the knee joint flexible.

2. Mobility Aids:

   Patients often require crutches, braces, or a walker for support in the initial recovery period. These aids help protect the knee from unnecessary pressure during the healing phase.

3. Physical Therapy:

   A critical part of recovery, physical therapy helps restore the knee’s strength and flexibility. It starts with gentle exercises to regain range of motion and gradually progresses to more strenuous activities as the knee heals.

4. Long-Term Healing:

   Full recovery from knock knee surgery can take anywhere from six months to a year, depending on the type of surgery and the patient’s overall health. Regular checkups and adherence to a physical therapy regimen are crucial for a successful recovery.

Knock Knee Surgery Cost in Gurgaon

The knock knee surgery cost in Gurgaon varies based on several factors, including the type of surgery, the hospital, and the surgeon’s experience. On average, the cost ranges between INR 1.5 lakhs to 3 lakhs. This estimate usually includes the surgeon’s fee, hospital stay, anesthesia, pre-surgery diagnostics, and post-surgery follow-up care. Some hospitals may offer packages that include physical therapy and rehabilitation.

It’s advisable to discuss the costs with your healthcare provider in detail and review any insurance coverage options or payment plans to manage the financial aspect of the surgery.

Choosing the Right Surgeon and Hospital for Knock Knee Surgery

Selecting the right medical team is crucial for the success of your surgery. Consider these factors when making your decision:

1. Surgeon’s Expertise:

   Choose a surgeon who specializes in orthopedic procedures, particularly knock knee correction surgeries. An experienced surgeon will help ensure optimal results with minimal risks.

2. Hospital Facilities:

   Opt for a hospital that has modern medical facilities, experienced staff, and a high standard of care in orthopedic treatments. Hospitals with advanced equipment can provide better post-operative care and recovery support.

3. Patient Reviews and Success Stories:

   Check online reviews and testimonials from previous patients to get a sense of the surgeon’s and hospital’s reputation. Positive feedback from others who underwent similar procedures can give you confidence in your decision.

4. Consultation and Clear Communication:

   Schedule a consultation with the surgeon to discuss the surgery in detail. The surgeon should explain the process, potential risks, recovery time, and the expected outcome. Good communication ensures you feel comfortable with your choice.

Non-Surgical Treatments for Knock Knee

In some cases, especially in mild forms of knock knee, non-surgical treatments can help manage the condition. These include:

• Physical Therapy: Specific exercises that strengthen the muscles around the knee can help improve knee alignment and reduce discomfort.
• Orthotics: Special shoe inserts or braces can help correct alignment issues while walking, offering support and pain relief.
• Weight Management: Losing weight can significantly reduce stress on the knees, providing relief from pain and preventing the condition from worsening.

While these options won’t completely fix the alignment, they can help manage symptoms and improve mobility in less severe cases.

Final Thoughts: Is Knock Knee Surgery the Right Option for You?

Knock knee can lead to long-term issues such as pain, limited mobility, and joint damage if left untreated. Surgery is often the most effective way to permanently correct the condition, especially when non-invasive treatments aren’t sufficient. The type of surgery required depends on the patient’s age and the severity of the condition.

Understanding the recovery process and knock knee surgery cost in Gurgaon allows patients to make informed decisions. With the right surgeon, a good hospital, and a commitment to rehabilitation, most patients can expect to regain proper leg alignment, reduce pain, and improve their quality of life. If you or someone you know suffers from knock knee, consulting with an orthopedic specialist is the first step toward effective treatment and recovery.