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BONE & JOINT CLINIC NOIDA
Dr. Sumit Badhwar Has Been Rated Best Orthopedic Doctor in Noida, Delhi, Gurgaon & NCR
Growth Anomalies Treated
Children Growth Anomalies Treatment in Noida
Any Age Limit: No
Follow-up Required: Yes
Digital X-ray Available: Yes
Hospitalization Required: No (Outpatient Procedure)
Blood Sample Collection facility: Available
Physiotherapy Treatment: Yes, Required & Available (Well Equipped Physiotherapy Department)
About the Procedure: Please check the Procedure Description Box below
Dr. Sumit Badhwar has undergone super specialty training in knee arthroscopy from AIIMS Delhi and sports medicine from England and did his Joint Replacement Visitation from Max Elite institute.
Dr Sumit Badhwar is one of the Lead Orthopaedic Surgeon in the Delhi NCR Area & he specializes in orthopedic surgeries like Joint Replacement Surgeries, Stem Cell Therapy, Poliotic surgeries, Arthroscopy, Fracture & pediatric orthopedic treatments etc.
In the past, Dr.Sumit Badhwar is responsible for managing FIRST Private corporate Hospital Joint Replacement Unit in Himachal Pradesh.
He has to his credit of doing First Reverse Shoulder Joint Replacement and first to do Stitchless Joint Replacement Surgery and first to use Special Plates for Fracture Fixation in Himachal Pradesh.
He is one of the few surgeons to use Minimally Invasive Techniques for joint replacement and fracture fixation.
He prefers using “made to order” joint replacement with computer navigation (surgery by wire) for early return to work, High flexion knee & hip replacement for increased range of motion and better rehabilitation process.
He is an active member of several Professional bodies, and has participated in numerous National and International Forums. He has national publications to his credit.
The motto of his service is ‘Mobility is life’.
Genu Varum or Bowed legs
The legs have considerable space between them, it becomes more obvious when the kid stands up or walks. Genu varum is also known as the bowed legs. In this deformity, the knees of the kid are far apart but the toes are pointing inwards, the toes can touch.
Genu Valgum or Knock Knees
It is the exact opposite deformity of the genu varum, in this the knees are pointing inwards and ankles, toes are pointing outwards. In this disease, the knees keep rubbing or knocking on each other and toes never meet, hence the name knock knee is given.
Reasons behind the bowed legs and knock knees can be many, some of the most common reasons are:
- Blount’s disease – In this disease, there is growth plate abnormality in the upper part of the shin bone (tibia). It can occur either in one or both legs. It causes the genu varum or the bowed legs.
- Rickets – This malnutrition disorder affects bones of all the body. Along with other deformities, bowed legs and knock knees are common.
- Some benign tumors around the knee joint area – it is quite rare though.
- Obesity – Genu valgum and varum are commonly seen in the fat or obese kids.
- Injury to the joint from trauma or infection
- Skeletal dysplasia – stunted skeletal and cartilage growth.
Problems associated with Genu Valgum/bowed knees and Genu Varum/knock knees
- Undue stress on all the joints, such as the knee is under maximum stress and hip and ankle joint bear undue stress as well.
- The child has more chances of falling due to improper muscular coordination.
- The deformity gives rise to another deformity that is turning of the toes and foot inwards.
- Cosmetic appearance
- Joint stiffness
- Knee Pain
- Walking with a limp
Treatment of Genu Valgum and Genu Varum
- Braces or orthotic devices to correct the deformity.
- Malnutrition must be treated with proper diet and medication if the deformity is due to rickets.
- Surgery is the ultimate way to correct the deformity if everything else fails. The main surgical interventions performed are
- Guided Growth surgery or Growth Plate surgery is performed in order to correct the shape of the knee joints. In this surgery a metal plate is inserted in the tibia to ensure a smooth growth. It is removed after the full growth of the child.
- Tibial Osteotomy is also a preferred procedure in which the shinbone (tibia) is shaped in such a way that it heals while correcting the deformity.
- Hemiepiphysiodesis – Shaping of the inner side of the knee to correct genu valgum.
CTEV or Clubfoot Treatment
Congenital Talipes EquinoVarus (CTEV) or Clubfoot is a common deformity in infants. In this birth defect, the foot of the baby faces inwards. CTEV can range from mild to severe thus requiring immediate treatment. Some cases of clubfoot are treated by gentle exercises and splinting while the severe cases require surgical corrections so that the child can walk normally.
Causes of CTEV/Clubfoot
Most of the cases are idiopathic, that is without any distinct reason. The CTEV is idiopathic in the children who are otherwise normal, that is, no other neurological deficit is there in them. However the family history, environmental factors and bad position of child’s foot in the womb makes the child prone to this deformity.
Other cases who have some neurological deficits like Spina Bifida, cerebral palsy or arthrogryposis are likely to have CTEV as well. Though in those cases also, it is fully curable.
Non- surgical Treatment
The most popular non-surgical or minimally invasive procedures in treating the Clubfoot is
Ponseti Method – In this treatment method, the baby’s foot is manipulated and a cast is applied. This cast is changed every week after manipulating the foot till significant improvement takes place.
After this period, some babies require the achilles tenotomy. As mentioned in the surgical treatments of clubfoot below.
Manipulation, Taping and Braces – Some minor CTEV cases need just the manipulative treatment and the taping is done along with braces to ensure the correction of deformity. The exercises are taught to the mother of the baby to be performed daily. Physiotherapy is done and advised.
Surgical Treatment Method
Achilles Tenotomy – Achilles tenotomy includes performing a cut in the tendon above the heel(at the back of the ankle). So that the lengthening of the tendon can take place while it heals. The cast is applied in order to achieve proper healing in the corrected position. This is a very minor procedure that doesn’t even need stitches thus helping in scarless and faster healing.
Posteromedial tissue release – The severe and neglected cases of CTEV require soft tissue release which is then followed by a cast. This leads to considerable correction of deformity. In this surgery, the soft tissues around the ankle like plantar fascia (the sole of foot), muscles and ligaments around it are released till the neutral position is attained.
Other less common surgeries performed for clubfoot treatment are Osteotomy(shaping the bones to attain the proper alignment of the foot), anterior tibial tendon transfer (Releasing the tendon and changing its position to increase the flexibility and movement of the foot), Triple arthrodesis (three bones are fused to achieve the correction) and tallectomy (removal of one small bone, talus) etc
If you want to get treated for any of these anomalies in your child, then book appointment with Dr. Sumit Badhwar here.
Genu Valgum & Genu Varum FAQs
Question 1. Will the surgery be the only choice for this leg abnormality (genu valgum or genu varum)?
Answer. No, many cases of physiological genu valgum or varum get treated by the use of braces. Some cases which has severe deformity needs the surgical correction.
Question 2. How much time does the surgery takes?
Answer. It depends upon the type of surgery. On an average the surgery takes somewhere around 2 to 3 hours.
Question 3. Will my child need physiotherapy after surgery?
Answer. Yes, to regain muscle strength and make the recovery process smoother and efficient, physical therapy is required. It will be stopped once the child is up and about.
Question 4. Can these deformities be treated fully?
Answer. Yes both these deformities can be treated fully without any deficit with timely treatment and correct surgical measures.
Question 1. When should I start the treatment of CTEV for my newborn?
Answer. The treatment can start from Day 1 but you need proper guidance about how to perform the exercise while breastfeeding your child.
Question 2. After how much time will the cast be removed after surgery?
Answer. The removal of cast takes 4 to 6 weeks after the soft tissue reconstruction surgery.
Question 3. Will my baby have to wear the special shoes all his life?
Answer. No, Your baby can lead a normal, active life once the treatment process is complete. No special shoes are required after that.
Question 4. How much time does the Ponseti casts take?
Answer. The casts are changed every week and this lasts for about 6 to 8 weeks.
Question 5. Can the correction be done only in infants or newborns?
Answer. No, Correction can be done at any age but the deformity keeps increasing as the age increases. So it is advisable to get the clubfoot treated as soon as possible.
Question 6. What if I don’t use braces for my baby?
Answer. The deformity will not be corrected fully and the CTEV can reoccur. So it is advised to use the brace religiously for the advised time period.
Question 7. How much time does it normally take to treat a CTEV?
Answer. It depends upon the severity of the deformity but the minimum time will be about 6 weeks.
Question 8. At what age do you do the surgical correction?
Answer. The non-surgical treatments start within the days of the childbirth but the surgical correction is done only after the age of 9 months.