Children sometimes are born with angulation in one or both legs. Also, angulation may occur during the development (growth) of the child. In some cases, this deviation can cause problems with health at that stage, or later in life. In this case, treatment may be indicated. Angular leg correction in children is a relatively common procedure within orthopedic medicine. This procedure is offered in Dubai by the American Academy of Cosmetic Surgery Hospital (AACSH) by a highly experienced orthopedic surgeon.
What is Angular Leg Correction?
Children sometimes develop so-called ‘bowed legs’; the knees are pointing outside and both legs together look a bit like the letter “O”. If both legs are pointing inside, both legs together look like the letter “X”; this we call ‘knock knees’. To prevent both deformities mentioned above from growing further, surgical intervention can be the solution. In this case, the growth on one side (inside or outside) of a particular leg can be slowed down. At this side, the growth disc will be disabled and fixed with a so-called ‘8-plate’. See figure.
Diagnosis will be established through physical examination by the orthopedic surgeon, evaluation of walking pattern, and X-ray images.
Possible Causes Most posture mal-alignment (angulated legs) in children will disappear by themselves within years. However, sometimes angulation may consist of due to fracture of the bone or damage to the growth disc. On rare occasions, specific diseases may be caused by mal-alignments such as rachitis, metabolic abnormalities, or skeletal dysplasia.
Signs and Symptoms
Mal-alignments (angulated legs) may cause several complaints. This can vary from feeling tired easily, to pain in the hip, knee, and/or ankle joint. Sometimes the right diagnosis is made in a late stage due to focus on a local complaint (knee, or hip for example), instead of evaluating the overall picture by X-ray image.
How does the Angular Leg Correction work?
One of the growth discs will be disabled and fixated by an implant (8-plate, screws). In the case of ‘bowed leg,’ the plate will be placed at the outside, in the case of ‘knock knee’ the plate will be placed on the inside (see images below).
In case of limb length discrepancy, the growth disc on both sides of one leg may be disabled and fixated to prevent this leg from growing any longer. The other leg will continue to grow normally so leg the length discrepancy will decrease. All implants (8-plate & screws) will be removed by minor surgery when the relevant leg is straight.
Who needs Angular Leg Correction?
Children in their grow span of life suffer from angular deformities in the upper and/or lower leg. Children that suffer from leg length discrepancy.
Consult your Orthopedic Surgeon for Treatment Options
Before your child undergoes an angular correction surgery, you and your child must consult your orthopedic surgeon. You must present your child’s medical history records and the list of medications the patient is taking and has taken in the past. The surgeon will guide you in your preparation for the surgery.
Preparing Before Surgery
Before the surgery, you and your child must consider certain preparation. As this involves a minor under the parent’s guidance, informed consent is essential. Parents will be involved at the maximum level when developing a treatment plan at all times.
You Should Know
Here are certain facts that you should know about Angular Leg Correction surgery:
- Surgery Duration
- The duration of the surgery is about 1,5 hours but will depend on every specific situation
- Recovery Time
- The recovery time for the patient depends on the immunity of the person. The healing process is fastened in the presence of strong immunity. Two weeks after surgery the wound will be checked by a doctor. Three months after surgery a consult will take place by the orthopedic surgeon where X-rays photos will be made.
- The surgeon decides whether to choose local or general anesthesia depending on the patient’s immunity, resistance power, and neurological condition.
- Stay in Hospital
- After the surgery, the surgeon prefers to monitor the health of the patient. For that reason, they recommend their patient stay in the hospital after the surgery.
Expectations after Surgery
The aim of treatment is to diminish angular deformity and/or leg length discrepancy and decrease associated complaints. Improving the quality of life may take rehabilitation and therefore time.
Like any other surgery, an Angular Leg Correction procedure has certain risks. The surgery can be associated with bleeding, infection, and other effects. Always consult your doctor when;
- The wound starts leaking
- The wound feels hot, swollen, or extremely painful
- Patient develops a fever over 38.5 C
Cost of Angular Leg Correction
Angular Leg Correction cost will be estimated by the orthopedic surgeon after the consultation.