Knee

Condition Anatomy 

Knee alignment depends on the mechanical axis of the lower extremity-from hip to ankle. Malalignment appears as a varus (bow-legged) or valgus (knock-kneed) deformity, which affects load distribution across the joint. 

Understanding the Injury

Malalignment develops due to genetics, growth abnormalities, degenerative joint changes, previous fractures, or ligament imbalance. 

Prolonged malalignment can accelerate cartilage wear, progressing toward osteoarthritis. 

Symptoms include: pain along the overload side of the knee, gait abnormalities, stiffness, and instability. 

Non-Surgical Treatment Options

Our non-surgical approach includes:

  • Activity Modification 
  • Strengthening to Improve Muscular Balance 
  • Offloading Braces 
  • Anti-Inflammation Interventions
  • Weight-Optimization 

 Surgical Treatment Options 

Corrective surgery is considered when conservative care fails or when alignment significantly affects joint functions. 

Procedures Include:

  • High Tibial Osteotomy (HTO)
  • Distal Femoral Osteotomy (DFO) for valgus deformity

These redistribute loads across the knee, slowing degeneration. 



Recovery Expectations 

Recovery varies based on procedures, with most patients returning to daily activities in 6-12 weeks and more strenuous activity in 4-6 months. 

Special Considerations

Pediatric malalignment may relate to growth-plate conditions and usually requires early orthopedic evaluation. 

Delayed Treatment increases the risk of cartilage loss and early arthritis.

When to See an Orthopedic Surgeon

If you are experiencing instability, swelling, recurrent giving way, inability to play sports, or persistent pain following a twisting injury, early evaluation is advised. 

Why Accelerate Orthopedics is the Right Center 

Our team provides:

  • Fellowship-Trained Knee Specialists 
  • Precision Diagnose with Musculoskeletal Ultrasound
  • Advanced Arthroscopy and Reconstruction Techniques
  • Comprehensive Post-Operative Rehabilitation Guidance

How Our Doctors Diagnose the Condition 

  • Detailed Clinical Exam (Lachman, Pivot Shift, Anterior Drawer)
  • Ultrasound Evaluation for Soft-Tissue Assessment 
  • MRI to Confirm Tear Pattern and Associated Injuries 
  • Functional Testing for Stability