Understanding Knock Knee (Genu Valgum)

Knock knee, also known as genu valgum, is a condition where the knees angle inward while standing, causing them to touch or nearly touch each other while the ankles remain apart. This condition is quite common during childhood and typically corrects itself with age. However, in some cases, knock knees persist into adolescence or adulthood, which can lead to discomfort, pain, and issues with walking or mobility, making surgical intervention necessary.

Causes and Risk Factors of Knock Knee

There are several causes and contributing factors that may lead to knock knee, including:

• Genetic Influences: A family history of bone deformities can increase the likelihood of developing knock knee.
• Growth Disorders: Conditions like rickets, which is due to a vitamin D deficiency, can disrupt bone growth and lead to improper alignment.
• Traumatic Injuries: Significant leg injuries, fractures, or damage to the ligaments can result in knock knees.
• Underlying Health Conditions: Diseases like osteoarthritis or developmental issues affecting the legs can also lead to misalignment of the knees.

Symptoms and Complications of Knock Knee

The hallmark symptom of knock knee is the inward angle of the knees, creating a noticeable gap between the ankles when standing straight. Other common symptoms and possible complications include:

• Pain or discomfort in the knees, hips, or lower legs.
• Difficulty walking or maintaining proper posture.
• Increased risk of falling due to poor balance.
• Gradual wear and tear on the knee joints leading to arthritis if left untreated.

When to Consider Surgery for Knock Knee?

While many children outgrow the condition naturally, surgery is often considered in adults or adolescents when knock knee causes significant discomfort, pain, or mobility issues. Surgery is usually the best option when conservative treatments such as physical therapy or braces fail to improve the alignment or when the condition progresses to a more severe stage.

Surgical Procedures for Knock Knee Correction

There are multiple surgical options available to treat knock knee, each tailored to the patient’s age and the severity of the condition. The three most common procedures are:

1. Guided Growth Surgery:Guided growth surgery is minimally invasive and is typically performed on children or teenagers who are still growing. During this procedure, a small plate or screw is inserted near the growth plate of the knee, guiding bone development to correct the alignment over time as the child grows. This procedure is most effective when the surgery is performed early and before the bones have fully matured.
2. Osteotomy:Osteotomy is a common procedure for adolescents and adults who have finished growing. The surgeon cuts and reshapes either the femur (thigh bone) or tibia (shin bone) to realign the knee properly. Metal plates and screws are then used to hold the bones in place during the healing process. Osteotomy is usually recommended for more severe cases of knock knee, where other treatments may not be effective.
3. Total Knee Replacement:In cases where severe misalignment has caused extensive damage to the knee joint, a total knee replacement may be necessary. This procedure involves removing the damaged parts of the knee joint and replacing them with artificial implants. It is typically reserved for older adults or those with advanced joint deterioration.

Pre-Surgical Preparations

Before undergoing surgery, patients will go through a thorough evaluation that includes physical exams, X-rays, and sometimes MRIs. These tests help assess the extent of the knock knee condition and determine the best course of treatment. Pre-surgery preparations include:

• Avoiding certain medications that may interfere with surgery.
• Fasting for a specific period before the procedure.
• Preparing for post-operative care by arranging transportation and setting up a comfortable recovery space at home.

Recovery After Knock Knee Surgery

The recovery process following knock knee surgery can vary based on the type of procedure performed. Here’s a general guide on what to expect:

1. Hospitalization and Post-Surgery Care:After surgery, patients typically stay in the hospital for a few days to monitor their progress and manage pain. Medical staff will ensure that the knee heals properly and may begin physical therapy to maintain flexibility in the joint.
2. Use of Mobility Aids:Patients are often advised to use crutches, walkers, or knee braces to help with mobility and prevent excessive strain on the operated leg. These aids are essential during the initial healing phase to support the realigned bones and reduce the risk of complications.
3. Physical Therapy:Physical therapy is a key aspect of post-operative recovery. It involves exercises designed to restore the knee’s strength, flexibility, and range of motion. The program typically starts with gentle movements and progresses to more rigorous activities as the knee regains stability.
4. Long-Term Healing:Complete recovery can take six months to a year, depending on the patient’s overall health and the type of surgery performed. Regular follow-up appointments with the surgeon and a dedicated rehabilitation program are essential for a successful outcome. Most patients notice significant improvements in mobility and pain relief within the first few months of surgery.

Understanding Knock Knee Surgery Cost in Gurgaon

The knock knee surgery cost in Gurgaon can vary significantly depending on the procedure, hospital, and surgeon’s expertise. On average, the surgery may cost between INR 1.5 lakhs to 3 lakhs. This estimate usually covers pre-surgical diagnostics, surgeon fees, hospital charges, anesthesia, and post-surgery follow-up care. Some hospitals also offer comprehensive packages that include rehabilitation and physiotherapy services, which can impact the total cost.

Patients should consult with their healthcare provider for a detailed cost estimate and inquire about insurance coverage or financing options to manage the expenses.

Factors to Consider When Choosing a Surgeon and Hospital for Knock Knee Surgery

Choosing the right surgeon and hospital is vital for ensuring a smooth surgery and successful recovery. Here are important factors to consider:

1. Experience of the Surgeon:Look for a surgeon with extensive experience in performing knock knee surgeries, particularly the type of procedure that’s appropriate for your condition. A seasoned surgeon will have a solid track record of successful surgeries.
2. Hospital’s Reputation:It is crucial to choose a hospital known for its expertise in orthopedic surgeries. Hospitals with modern facilities, advanced technology, and a dedicated team of orthopedic specialists will provide better care and support throughout your treatment journey.
3. Patient Reviews:Reviewing feedback and testimonials from other patients who have undergone similar procedures can give you insights into the surgeon’s skills and the hospital’s quality of care. Positive reviews often indicate a higher level of patient satisfaction and successful surgical outcomes.
4. Clear Communication During Consultations:A good surgeon will take the time to explain the procedure, risks, benefits, and expected recovery times. This open communication ensures that you fully understand the process and feel confident in your decision to proceed with surgery.

Non-Surgical Treatments for Knock Knee

In some cases, non-surgical treatments may help manage knock knee symptoms, especially in mild cases. These treatments include:

• Physical Therapy: Targeted exercises designed to strengthen the muscles around the knees can help improve alignment and reduce discomfort.
• Orthotics: Customized braces or shoe inserts can help redistribute weight and reduce pressure on the knees, providing relief from pain.
• Weight Management: For those who are overweight, losing weight can relieve strain on the knee joints and improve overall mobility.

While these methods won’t completely correct the knee’s alignment, they can provide symptom relief and improve function in less severe cases.

Conclusion: Finding Relief with Knock Knee Surgery

Knock knee can lead to significant discomfort, impaired mobility, and long-term joint damage if not treated appropriately. While non-surgical treatments may offer temporary relief, surgery is often the best option for long-lasting correction of the condition.

Understanding the recovery process and the knock knee surgery cost in Gurgaon is essential for making an informed decision. By selecting an experienced surgeon, a well-equipped hospital, and following a comprehensive rehabilitation plan, patients can achieve better knee function, reduce pain, and improve their quality of life.