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This gives the child’s bones time to continue straightening on their own while they are growing. Your child can take a guided-growth surgery when they are approaching puberty (age 11 in girls and 13 in boys). This allows the outer part to grow and straighten out the knee. Your doctor performs this surgery by implanting small metal devices that tie’s the inside part of the growth centre around the knee. Guided growth surgery means negating the growth on the bent side of your child’s bone (for knock knees, the inside of the knee). They may also cut and straighten the thigh or shin bone (osteotomy of the femur or tibia). Your child’s pediatric orthopedic surgeon may perform surgeries that influence bone growth (called a “guided growth” procedure. In a rare condition when natural growth, braces or shoes do not correct knock knees in your child, the doctor may recommend surgery. Orthopaedic shoes, which are equipped with a heel wedge and sometimes an arch pad.These brace work by attaching them to a shoe and pulling the knee up to a straight position A night brace, especially if there is a family history of knock knees.If your child has severe, unresolved knock knees, doctors may suggest: Splints and other tools can also be used if your child’s valgus has an underlying metabolic or systematic condition. These devices are useful if your child’s normal valgus does not straighten out by the time they reach 7 or 8 years old. Splints and other devices are not usually required for a child at a normal stage of valgus till age 7. Sometimes the valgus can be severe and may not self-correct. As your child grows, walking patterns will become standard by age 7 to 8 or in some cases when they reach their teens. Since this condition is a natural part of a child’s growth (typically ages 2 to 5), it corrects itself with time. Treatment options for knock kneesĭoctors treat children who have knock knees with close observation. However, if your child is older than the usual age range or their legs are not symmetrical your doctor will go for standing x-rays. If your child is of average age for knock knees, they would have a regular exam with a typical appearance and no functional issues. assessment of leg-lengths and leg symmetry.Measurements of rotations and knee extensions.Measurements of body mass index (BMI) and weight.Measurements of your child’s height and length.Your orthopaedic doctor may use these exams for diagnosing knock knees: Knock knees are more severe if there is a wide gap between the ankles. They will monitor the position of the knees and ankles, also measure the gap between the inner ankle bones. Your paediatric orthopaedic doctor can find out the severity of your child’s knock knees by observing the alignment of the legs. Knock knees become apparent when your child stands with straight legs and toes pointing forward. The condition is a bit more common in girls, but boys can develop it, as well. Sometimes knock knees continue into adolescence. However, if this condition does not appear until your child is 6 or older, it could be a symptom of an underlying disease. Knock knees usually self-corrects when your child is 7 or 8 years old. It becomes apparent when your child is 2 to 3 years old, and it may become severe until age 4. One knee, however, may “knock” less than the other or may even remain straight.Ī standing child of average weight whose knees come in contact, but ankles do not, is considered to have knock knees. When a child has knock knees, both knees usually lean inward symmetrically. When your child is growing, knock knees help them to maintain balance, especially when they begin walking. When they reach age 7, only 1 per cent of children have this gap. More than 20 per cent of children who are 3 years old have at least a 5-centimetre gap between their ankles. While growing all children develop normal alignment of their lower extremities for some time. However, if your child is 6 years or older, it can be a sign of an underlying disease in the bones, such as rickets or osteomalacia. Your child might be overweight, which can also contribute to knock knees. Knock knees are a part of the normal development and growth of the lower extremities.