Bone deformities in your arms or legs can occur for a number of reasons, including congenital disorders, development disorders, metabolic disorders and traumatic injuries. The surgeons at Vidyasagar orthopedic hospital specialize in replacing missing bone, lengthening or straightening, or to improve function and align the body when non-aligned.
As a congenital deformity, clubfoot or congenital talipes equinovarus (CTEV) can affect a child’s one foot or both feet. The affected foot of a child looks like being rotated internally at the ankle. The child further finds it difficult to place the sole of the foot flat on the surface. Hence, a child with clubfoot looks like walking on the side of his feet or on his ankles. However, the characteristics and symptoms of club foot differ from one child to another. The parents must start treatment for clubfoot immediately to avoid major problems as the child grows.
Genu valgum, known as knock-knees, is a knee misalignment that turns your knees inward. When people with knock-knees stand up with their knees together, there’s a gap of 3 inches or more between their ankles. This is because their knees are bent so far inward.
Genu valgum is common in young children and usually corrects itself as they grow. Up to 75 percent of children between ages 3 and 5 have knock-knees. Boston Children’s Hospital reports that in about 99 percent of these cases, genu valgum corrects itself by the time affected children are 7 or 8 years old.
When genu valgum is severe, or when exercise isn’t enough to relieve pain and stabilize your knee, your doctor may recommend surgery.
For younger people, a small metal plate inserted in their knee can help direct future bone growth. This minor procedure is called guided growth surgery. The plate is removed when bone growth is corrected.
Joint Preservation Surgery
The most common form of joint preservation surgery is arthroscopic. In this circumstance, a clean out of all the pain mediators in the knee may be indicated. This would involve removing irritated synovium, releasing scar tissue and contractures, removing offending bone spurs, and trying to improve a patient’s motion in both their patellofemoral joint and the tibiofemoral joint. This would especially involve patellar mobilization and trying to regain full knee extension.
Other forms of joint preservation surgery can be more specific. These include treatment of localized areas of arthritis with a microfracture, an autogenous osteochondral transfer, or a fresh allograft. These can be performed with or without a proximal tibial or distal femoral osteotomy, or a meniscus transplant. All of these are considered to be “joint preservation surgeries,” but are usually indicated in patients who have a thorough clinical exam, radiographic workup, and MRI scans which demonstrate their suitability for these procedures.