How to correct knock knees?

Patient's question:

My child is 3 years and 2 months old, has knock knees, and a hunchback. I bought some corrective insoles, are they effective? How can knock knees be corrected?

Doctor's answer:

This condition is a manifestation of genu varum (O-shaped leg). The correction methods for this condition primarily include surgery, instruments, braces, splints, exercises, and the use of corrective orthotics, among others. Surgery is recommended for patients with skeletal deformities, as it involves bone osteotomy and internal fixation for orthopedic correction, which can immediately restore the normal alignment and appearance of the affected limb. For severe genu varum patients, primary osteotomy with internal fixation may lead to nerve and vascular injuries, increasing the risk of complications. Therefore, external fixation frames can be used for (deformity correction) under slower, gradual correction, which helps prevent the recurrence of nerve and vascular complications. Surgical procedures should also prioritize minimally invasive techniques. Non-surgical correction methods involve relaxing the medial knee ligaments to fully restore the stability of the inner and outer knee structures, thereby achieving tibial varus (beyond correction).

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