Malalignment of Lower Extremity Treatment
Dr. Verma commonly begins lower extremity alignment injuries with non-surgical measures. Patients may be asked to lose weight, modify shoes, modify activities, brace the knee with an unloader brace and perform lower extremity strengthening exercises to help treat the condition and symptoms.
If non-surgical measures fail or if a knee injury is associated with the malalignment, Dr. Verma may recommend surgery. Lower extremity alignment injuries can be addressed by a number of surgical options, including an osteotomy, total knee replacement (arthroplasty) and a unicompartmental knee arthroplasty. In many cases, an osteotomy may be combined with other procedures to treat a knee injury. For example, in patients with a malalignment and an ACL tear, Dr. Verma will perform the osteotomy to correct the malalignment and then perform the ligament reconstruction to treat the ACL knee injury.
When an osteotomy is required, a cut in the bone is made to allow the alignment of the bone to be corrected. Once manipulated to the normal position, the bone is fixed with a plate and screws. Additional bone (bone graft) either from the patient or a donor, or a bone substitute is used to facilitate healing.
Before surgery is performed, Dr. Verma will explain each procedure and help the patient determine the correct option based on extent of injury, patient’s activity level and patient’s age.
For more information on malalignment of the lower extremity, such as bow-legged or knock-kneed, contact the office of Dr. Nikhil Verma, knee specialist serving patients living in the Chicago, Westchester, Oak Brook and Hinsdale, Illinois communities.