Performed by Dr. Venkat Ram Thyalapalli at Dr Venkatram Thyalapalli
Knock knee correction is a surgical procedure to straighten legs when the knees angle inward excessively, causing the ankles to stay apart when standing with knees together. The surgery realigns the bones of the thigh or shin to restore a more typical leg angle. Dr Venkatram Thyalapalli evaluates each patient individually to determine if and when surgical correction is appropriate.
We believe in honest, upfront disclosure so you can make an informed decision.
A step-by-step look at what happens during this procedure.
The patient is given general anaesthesia so they are asleep and feel no pain during the procedure.
A small incision is made near the knee, over the thigh bone (femur) or shin bone (tibia), depending on where correction is needed.
For guided growth, small metal plates or staples are placed across the growth plate on the inner side of the knee to slow growth there, allowing the outer side to catch up. For osteotomy, the bone is cut and repositioned at a corrected angle.
If an osteotomy is performed, the bone is held in its new position with plates, screws, or pins. In guided growth, the implants remain until correction is achieved, then are removed in a second minor procedure.
The incision is closed with sutures, and a sterile dressing is applied. A brace or cast may be placed to protect the leg.
A structured, patient-first approach from first consultation to full recovery.
Dr Venkatram Thyalapalli examines the leg alignment, reviews X-rays, and considers the child's age, growth remaining, and underlying cause before recommending surgery.
The surgeon selects guided growth for younger children with open growth plates, or osteotomy for older children or more severe deformity, based on individual anatomy and needs.
During surgery, alignment is checked carefully using imaging to ensure the bone is positioned or guided correctly for balanced leg shape.
After surgery, the surgeon follows the patient with regular visits and X-rays to track healing, confirm alignment, and plan implant removal if needed.
What to expect at each stage of your recovery journey.
The leg is kept elevated and protected in a brace or cast. Weight bearing is limited or not allowed. Pain is managed with medication, and the wound is kept clean and dry.
Gradual weight bearing begins, often with crutches or a walker. Physiotherapy may start to restore knee movement and strength. Activity remains restricted to prevent stress on the healing bone.
Most children return to walking without aids and resume daily activities. Full return to sports and vigorous activity is guided by X-ray confirmation of bone healing and the surgeon's clearance.
Surgery aims to straighten the legs and bring the knees and ankles into a more typical position, which may ease walking and reduce strain on joints.
Many patients experience less knee or ankle pain and improved function after correction. However, pre-existing joint wear or other conditions may not fully resolve.
Correction can improve the appearance of the legs, which may be important to some patients and families. The degree of change depends on the severity at the start.
Surgery addresses bone alignment but does not cure underlying conditions such as rickets or skeletal dysplasia. Long-term joint health depends on many factors beyond alignment alone.
The right choice depends on your diagnosis, risks and circumstances — discussed with you at your consultation.
Mild knock knees in young children often improve on their own with growth. Regular check-ups may be all that is needed if there is no pain or severe deformity.
Strengthening exercises for the hip and thigh muscles may help improve gait and reduce discomfort in some cases, though they do not change bone alignment.
Special shoe inserts or braces are sometimes tried, but evidence for their effectiveness in correcting knock knees is limited. They may provide comfort or support in selected situations.
Let's clear up some of the most common myths about knock knee correction.
Get a personalised assessment from an experienced specialist. Understand your options, ask your questions, and decide with confidence.
Consult Venkat Ram Thyalapalli for Knock Knee Correction at any of these 2 centres — pick the one nearest you.
