What Is Knock Knee and How Is It Treated in Children | Dr Niraj Vora

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Do your ankles come together when you try to
bring in your knee while standing? They must and
they do in most cases when the inner knees
connect, the ankles are bound to close in too.
However, in some cases, the knees tend to cave
inwards, and they meet earlier than the ankles,
preventing the ankles from touching each other.
This condition is called Knock Knees, which is
more common among children. Over time, this
condition sorts out by itself. But when it
doesnt, it grows with the child to cause gait
abnormalities, joint pains, postural issues,
arthritis risk, instability, and persistent joint
pains. What causes knock knee, and how does it
interfere with a childs development? How is this
condition diagnosed and treated by knee
specialists? We posed these questions to the
leading knee surgeon in Mumbai, Dr Niraj Vora,
and have brought you his answers to provide you
with a better understanding.
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What causes Knock Knee? A genetic condition,
injury to the shin bone, rickets, benign bone
tumours, bone infection, metabolic diseases,
obesity are some of the most common Knock knee
causes. Knock knee is prevalent in children,
but it usually sorts itself out in most cases.
However, when it does not, it can impact
childrens growth in multiple ways, says knee
specialist and knee replacement surgeon in
Mumbai Dr Niraj Vora. How does Knock Knee impact
the children? Knock knees can manifest in
infants, toddlers, and young children. Among
infants, it may present as bowlegs where the legs
curve outward until they are two years of age.
Knock knees may develop in toddlers between 2 to
3 years of age, and in these cases, the knees
tilt increasingly inward and grow similarly until
age 4 or 5. In most cases, the knock knees sort
themselves out by age 7, but in rare cases, they
continue to grow into adolescence.
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What are the symptoms of Knock Knees? As Knock
knees develop, the symptoms become apparent due
to abnormal loading on the knee. Knock knees
include changes in gait, foot or ankle pain, knee
instability, difficulty walking or running,
reduced range of motion in hips, and the most
prominent symptom is the lack of connection
between feet when the knees are
together. Especially asymmetric leg appearance,
short stature for age, reported knee or hip pain,
limp while walking are the common signs parents
must notice in children, says Knock knee
specialist and total knee replacement surgeon in
Mumbai, Dr Niraj Vora. How is Knock Knee
Diagnosed? A knee specialist in Mumbai evaluates
the position of the childs legs, ankles, and
knees to check for the incidence of knock knees.
The distance between the ankles is one factor
used to identify the severity of knock knees. In
addition, BMI, height, leg length symmetry,
walking pattern, and X-ray studies are used to
diagnose the presence and severity of knock knees
in children.
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• Knock Knee Treatment in Mumbai
• As stated above, knock knees sort themselves out
  in most cases. When they dont, doctors evaluate
  the severity and devise the right plan to restore
  the average balance and function of the knees.
  This treatment for knock knees can be surgical or
  non-surgical based on the severity and growth
  stage of the patient. Non-surgical options
  involve identifying the underlying cause of the
  knock knees and resolving the issues with
  medication and integrated treatment options.
• As for surgical options, Guided Growth Surgery is
  the most often recommended procedure by knee
  specialists in Mumbai, followed by Osteotomy.
• Guided Growth Surgery involves inserting a metal
  implant to stop the abnormal growth of the bone
  and guide the knee to retain its natural
  position.
• Osteotomy is another surgical procedure performed
  in severe knock-knock cases, mainly when the
  patient completes his growth phases. The
  procedure aims to straighten the legs by
  manoeuvring the angle of the bones. The surgeon
  realigns the bone below or above the knee to
  achieve this.

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With the right physical therapy post-operation,
the patient can bid farewell to knock knees and
return to regular activities within six months of
the surgical procedure. As the leading knee
replacement specialist in Mumbai, Dr Niraj Vora
is the top knee surgeon who has helped hundreds
of knock knee cases with surgical and
non-surgical procedures. For inquiries on knock
knees or any other cases of knee pain treatment
in Mumbai you can contact him here 91-22-6686
8600
Dr Niraj VoraSpecialist in Hip Knee Surgeon
Consultant Orthopaedic Surgeon from Mumbai,
India
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