Overview of Knock Knee (Genu Valgum)
Knock knee, medically known as genu valgum, is a condition where the knees turn inward and touch each other when the legs are straightened. While common in young children, it often corrects itself with growth. However, for some individuals, this condition may persist into adolescence or adulthood, causing discomfort and mobility issues that may require surgical correction.
Causes and Symptoms of Knock Knee
Knock knee can be caused by genetic factors, injuries, or developmental conditions like rickets that affect bone growth. While mild cases may not present significant issues, severe knock knee can lead to pain, difficulty walking, and joint instability.
Common symptoms include:
- Inward-facing knees when standing straight.
- Pain in the knees or hips, particularly after physical activity.
- Difficulty in walking or an altered gait.
- Knee instability, resulting in frequent falls or trips.
When is Surgery Necessary?
Surgery is usually considered for knock knee when the condition causes substantial pain, limits mobility, or when non-surgical treatments are ineffective. In children, doctors may suggest waiting until they reach skeletal maturity, as the condition might naturally improve. However, if knock knee continues or worsens in adolescence or adulthood, surgery may be necessary to correct the alignment and prevent future complications.
Types of Knock Knee Surgery
Several surgical procedures are available to correct knock knee, each tailored to the patient’s age, the severity of the condition, and the underlying cause. The primary surgical options include:
- Guided Growth Surgery:
Guided growth surgery is typically performed on children and adolescents. This minimally invasive procedure involves attaching a small metal plate or screws to one side of the knee’s growth plate. As the child grows, the plate guides the bone’s growth, gradually correcting the alignment. This method is most effective when the condition is caught early and is not severe.
- Osteotomy:
Osteotomy is often recommended for adults or older adolescents who have stopped growing. In this procedure, the surgeon cuts and realigns the bone, usually the femur or tibia, to correct the knee’s angle. The bones are then held in place with metal plates and screws until they heal in the new position. Osteotomy is especially beneficial for those with moderate to severe knock knee and minimal joint damage.
- Total Knee Replacement:
In severe cases where the knee joint is extensively damaged due to long-term misalignment, a total knee replacement might be required. This procedure involves removing the damaged knee joint and replacing it with an artificial implant. Total knee replacement is usually considered when other surgical options are not feasible, and the patient experiences significant pain and mobility issues.
Recovery and Rehabilitation After Surgery
Recovery from knock knee surgery is an important phase that includes rest, rehabilitation, and regular follow-ups. The length and complexity of recovery vary depending on the type of surgery and the patient’s overall health. The recovery process generally involves:
- Immediate Post-Surgery Care:
After surgery, patients typically stay in the hospital for a few days for monitoring. Pain management and initial physiotherapy exercises begin during this time to maintain joint mobility and prevent stiffness.
- Use of Mobility Aids:
Patients may need crutches or a walker for several weeks post-surgery to avoid putting weight on the operated leg, allowing it to heal properly.
- Physical Therapy:
Physical therapy is crucial for regaining strength, flexibility, and range of motion in the knee. The rehabilitation program usually spans several months, with exercises becoming more intense as recovery progresses.
- Long-Term Recovery:
Complete recovery from knock knee surgery can take up to a year, but most patients notice significant improvements in pain, mobility, and overall quality of life within a few months.
Cost of Knock Knee Surgery in Gurgaon
The knock knee surgery cost in Gurgaon varies based on factors such as the type of surgery, the hospital, the surgeon’s expertise, and post-operative care. In Gurgaon, the cost generally ranges from INR 1.5 lakhs to 3 lakhs. This estimate includes pre-surgical assessments, the surgery itself, anesthesia, hospital stay, and post-operative care. To get a precise estimate tailored to your needs, consult with a specialist. Some hospitals also offer comprehensive packages that include follow-up visits and physiotherapy, which can help manage overall costs.
Choosing the Right Surgeon and Hospital
Choosing an experienced surgeon and a reputable hospital is essential for a successful knock knee surgery. Gurgaon boasts numerous highly qualified orthopedic surgeons who specialize in such corrective procedures. When selecting a surgeon and hospital, consider:
- Surgeon’s Experience:
Ensure the surgeon has significant experience in performing knock knee surgeries, as their expertise greatly impacts the surgery’s success and recovery speed.
- Hospital Reputation:
Opt for a hospital known for its orthopedic department and post-surgical care. Hospitals with strong reputations for quality care and advanced facilities are likely to provide better outcomes.
- Patient Reviews:
Patient reviews and testimonials can offer insights into the surgeon’s skill and the hospital’s level of care. Positive feedback and high success rates are good indicators of a reliable healthcare provider.
- Consultation and Communication:
During the consultation, the surgeon should clearly explain the procedure, risks, benefits, and expected outcomes. Good communication helps ensure that you feel informed and confident in your decision.
Conclusion
Knock knee, if left untreated, can lead to significant discomfort and mobility challenges. While non-surgical treatments are often the first approach, surgery becomes necessary for many individuals, especially when the condition persists or worsens into adulthood. Understanding the available surgical options, recovery process, and costs, particularly the knock knee surgery cost in Gurgaon, is crucial for making an informed decision.