Surgical Treatment of Bone Curvatures in Legs (Bow Legs and Knock Knees)
Causes of Bowed Legs
Bowlegs is a condition in which your legs appear bowed-out, meaning your knees stay wide apart even when your ankles are together. Generally, the bone curvatures in the legs occur in two different forms: bowlegs and knock knees. These are “X” shaped and “O” shaped forms of legs that are called knock knees and bow legs among the people. Bowlegs are usually a normal development stage among children who are under 3 years of age. Infants are usually born bow legged due to their folded position while in their mother’s womb. The cause of these curvatures is untreated fractures, congenital bone deformation, or bone diseases. Among bone diseases, we can enumerate Paget’s disease, rickets, dwarfism and etc.
Congenital leg curvature ratio is very small compared to others. If the bone skewness in females seems to be more than that of males, there is no clear statistics proving that.
How To Fix Bow Legs Without Surgery
Massage Therapy Exercises
During the massage therapy exercise, a therapist will move your legs back and forth repeatedly for an extended period of time. The massage therapy will help correct the bow legs in due time. The process will be repeated a number of times before you see noticeable results.
This type of exercise is mainly aimed at strengthening the muscles around your knees; it will reduce the strain exerted on your joints and tendons and will improve your bowed legs. However, the leg exercises can only be truly effective if the bowed legs condition is slight. 1 of the leg exercises which can be performed easily is; lying flat on the bench, bending at the knees, and then placing a 10-pound weight in between your feet. You should bend your legs till you touch your butt/rear, and then extend them. The process should be repeated multiple times.
Pilates also can be quite effective when it comes to improving the vital muscles, realigning your body, and correcting your posture and bow legs. Doing Pilates is one great way of fixing bow legs.
Stretching is one other important way of improving the legs, the posture and also the rest of the body. Some exercises such as yoga will help lengthen your body’s muscles and strengthen the center and the core of these muscles. Stretching will also help in realigning your muscular and skeletal systems, thus enabling better support for your body.
Bowlegs may also be as a result of vitamin D deficiency. For instance, rickets (which is basically caused by vitamin D deficiency), can cause bow legs to develop. Hence, increasing vitamin D levels can help in preventing rickets from developing, and in turn, might help in correcting bow legs.
Some special shoes, casts, and leg braces can be used to help treat bow legs in young children. Medical braces are usually used if the bow legs condition is rather severe in a child, and/or they have another disease in addition to bow legs. The child should wear the braces til the leg bones straighten. For more detailed information you can see: Bow Legs: What causes and How to fix
Which Situations Require Surgical Intervention?
In the treatment of bone curvatures in the legs, the correction of the load-bearing axis is essential. Valgus and varus deformities are very important issues from a physical point of view. But the main problem of these curvatures is the changes in the hip, knee, and ankle joints. That’s precisely the reason why leg deformity surgeries are not done with physical anxiety. If the load-bearing axis of the body is not treated, the patient may have walking problems, or arthritis and joint disorders at an early age. As these diseases require much more serious operations, treatment should be performed as soon as possible.
In the case of leg curvature, firstly it should be applied non-surgical treatment. Sometimes, patients get very good results from medical treatment.
Surgical intervention is necessary in cases where medicine doesn’t work. In order for children to be able to perform the surgical intervention, it must be expected when growth plates are closed. The curvature of legs can be corrected by surgical methods approximately from 15 to 70 years old. E.g, tissue degeneration may occur due to cartilages in a patient who had a traffic accident in the past but could not be treated. Or damage to the growth cartilage may occur due to fractures in childhood. When the cartilage is damaged, the bone continues its growth curve. This is precisely why doctors wait for the end of the growth period, 14-15 years old for females, and 17-18 years old for males.
How Does Bone Correction Surgery Work?
In the past, large cuts were made for bone curvature in the legs. Bone correction is a surgery to correct curve bones using metal screws, pins, rods, or plates to hold the bone in place. Nowadays, there are various methods used for these surgeries and can be done much more successful operations. In acute (severe) correction, a monolateral or single-lane fixator is used and the patient’s legs can be corrected immediately after the operation. If the correction is gradual, a circular fixator (also called the Ilazarov) is used. This fixator is also used when additional procedures are done simultaneously to correct other deformities such as limb length discrepancy. In most cases, doctors do the gradual correction with frames that allow for fine-tuning. If the deformity correction is not absolutely perfect on x-ray, they can continue to correct it until it is. After the bones fully heal, doctors may remove external fixators. Bone healing usually lasts about 3-5 months. This surgery caused by scar formation (average length about 2-3 cm) after removing the fixator. Patients may return to normal daily life in 2-3 days after the removal of external fixators.
Cost of Bow Legs Correctional surgery: 7,500 Euros
Moreover, for a thorough, healthy, and smooth treatment experience, we provide the following facilities, which are included in the total price that we charge for the surgeries:
- Meeting and greeting our patients at the airports, including all transportation, to and from their hotels & hospitals
- Accommodation in a 5-star hotel (1 to 3 days)
- An English-speaking caretaker who will assist our patients 24/7
- A Complimentary Istanbul tour, including historical and touristic visits, boat tours and meals in our famous Turkish restaurants
- All necessary medical examinations before the surgical operation
- 5 to 7 days of hospitalization
- Physiotherapist’s assistance and all medications are covered, during the patient’s hospitalization
- Walkers, crutches & wheelchairs
- Transportation to the airport upon departure
- FREE consultation with doctors and consultants, whenever the patient’s needs, even after the lengthening process has been completed.
Please note that this stated price also includes the following costs, besides, to the surgery itself:
- All hospital charges relating to the operating room and recovery room.
- Surgeon fees.
- Anesthesiologist fees.
- Surgery assistant fees.
- Hospital fees (Internal medicine doctors will be available during the entire hospitalization period).