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Knock-knee surgery corrects the inward angling of the knees, improving leg alignment and joint function. The primary goal is to alleviate discomfort, prevent joint damage, and restore a natural walking posture.

The surgery usually involves an osteotomy, where the bone is cut and repositioned to align the knees correctly. Depending on the case, either minimally invasive techniques or traditional open surgery may be used. Soft tissues around the knee are sometimes adjusted to support better alignment.

Recovery includes using crutches for a few weeks and following a tailored physiotherapy plan. This helps strengthen muscles, improve flexibility, and speed up the return to normal activities.

In most cases, patients experience better leg alignment, reduced pain, and a significantly improved quality of life after rehabilitation.

Knock-knee surgery is performed to realign the knees, improve walking mechanics, and relieve pain caused by abnormal stress on joints. It prevents early arthritis and improves physical appearance and function.It’s usually needed when non-surgical methods fail.

See a doctor if your knees touch but ankles remain apart, causing pain, limping, or joint strain.If deformity persists after childhood or worsens over time, evaluation is needed. Chronic knee pain, poor posture, and difficulty walking are key triggers.

You’ll undergo X-rays, gait analysis, and blood tests to assess deformity and overall health. Doctors may advise stopping certain medications like blood thinners. Fasting is required before surgery, and physiotherapy guidance may be given pre-op.

A small cut is made, and the bone is either cut and realigned (osteotomy) or guided growth is used in children.Metal plates, rods, or screws are inserted to fix the alignment. Surgery is typically done under general or spinal anesthesia.

The surgery takes about 1 to 2 hours, depending on the complexity and method used. Hospital stay may last 1–3 days. Recovery starts the same day or next day with gradual mobilization.

Risks include infection, blood clots, nerve damage, or non-union of bone. There may be temporary swelling, stiffness, or implant issues. Proper post-op care minimizes most complications.

Improved leg alignment reduces pain and improves gait and joint function. It prevents or delays arthritis and enhances posture. Patients often return to sports and normal activities with better mobility.

Initial recovery takes 4–6 weeks with crutches or brace support. Physiotherapy is crucial for full function and muscle strength. Complete healing may take 3–6 months depending on age and procedure.

Success rate ranges between 85%–95%, especially in younger patients. Most patients regain near-normal alignment and mobility. Outcomes depend on surgical expertise and adherence to rehab.

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Process Involved for Knock Knee Surgery

Initial Evaluation: The diagnosis is confirmed through a physical examination and imaging tests, such as X-rays or magnetic resonance imaging (MRI). This helps identify the type of impingement and plan the surgery accordingly.
Surgery: A minimally invasive approach, usually hip arthroscopy, uses small incisions to reshape the bone or repair damaged tissues.
Post-Surgery Care: Pain relief is provided after surgery, and the patient is advised to limit weight-bearing using crutches or a walker to protect the joint.
Rehabilitation: Physical therapy begins shortly after the procedure to improve flexibility, strength, and mobility over the following weeks.
Follow-up: Ongoing checkups are scheduled to monitor progress, manage complications, and guide patients in returning to daily activities and sports.

The following conditions are treated in knock-knee surgery:

Labral Tears: Damage to the cartilage that forms the labrum, which helps stabilise the hip joint, often caused by abnormal bone contact during movement.
Osteoarthritis is the degeneration of cartilage in the hip joint, leading to pain, stiffness, and reduced mobility. It often results from impingement over time.
Bone Spurs (Osteophytes): Abnormal bone growths that develop in the hip joint due to repeated friction, contributing to pain and restricted movement.
Hip Impingement: Abnormal bone contact between the femur and acetabulum, leading to joint damage, pain, and limited range of motion.
Cartilage Damage: Wear and tear or injury to the articular cartilage inside the hip joint, which can be aggravated by the abnormal movement of bones during hip impingement.
Snapping Hip Syndrome: A snapping or clicking sensation occurs in the hip during movement, often linked to the structural changes caused by FAI.

Initial Assessment: The first step in determining whether surgery is necessary involves a thorough evaluation. The doctor conducts a physical examination and may order imaging tests, such as X-rays, to assess the severity of the knock-knee condition. This helps determine if surgery is the best option and which procedure would be most suitable for the patient.
Pre-Surgical Planning: Once surgery is deemed necessary, further imaging tests, such as CT scans, may be performed to map the degree accurately. The medical team will assess the patient's overall health to ensure they are fit for surgery and provide clear preparation instructions. This includes guidelines for preoperative tests and fasting before the procedure.
Surgical Procedure: In most cases, surgery involves a procedure known as osteotomy, where the bones are realigned to correct the knee's angle. The surgeon will make an incision, reposition the bones, and secure them using surgical plates, screws, or rods. The aim is to restore proper alignment and improve the overall function of the knee joint.
Additional Adjustments (if needed): Depending on the patient's specific needs, the surgeon may also need to adjust surrounding tissues, such as ligaments or tendons, to enhance knee stability and support. These adjustments ensure the knee functions correctly and support the healing process.
Postoperative Care and Immobilisation: After surgery, the incision is carefully closed, and the knee is often immobilised with a brace or cast to protect the joint during the initial healing phase. Patients will be advised not to put weight on the knee and may need to use crutches for support during the early stages of recovery.
Rehabilitation and Recovery: Physical therapy plays a crucial role in the recovery process following knee surgery. The rehabilitation process focuses on restoring strength, flexibility, and range of motion to the knee. Over time, patients are encouraged to return to their normal activities gradually. Recovery can take several months, and follow-up appointments are essential to monitor progress and adjust the rehabilitation plan.

Osteotomy
Arthroscopy
Physiotherapy
Ligamentoplasty
CartilageRepair
KneeReplacement

Benefits of knock-knee surgery include:

Improved Leg Alignment – Corrects the inward angling of knees for a straighter posture.
Better Mobility – Enhances walking ability and overall movement.
Pain Relief – Reduces joint pain caused by uneven pressure on knees.
Lower Risk of Arthritis – Helps prevent long-term joint damage and osteoarthritis.
Boosted Confidence – Improves physical appearance and self-esteem.

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