knee varus treatment

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Knee Varus Treatment method (correction method)</p>
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According to the symptoms and signs, perform the necessary X-ray examinations. The diagnosis of knee varus is not difficult, but for each patient, carefully ask the medical history, carefully check the body to find the cause of the disease, the location, direction, and severity of the obvious deformity, in addition to timely Appropriate treatment of deformities, including non-surgical treatment and surgical correction, special attention should be paid to the treatment of the primary disease of knee varus caused by special diseases.</p>
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Correction methods for O-shaped legs include exercises, manual corrections, splints, leggings, corrective insoles, instruments, and surgery.</p>
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<div class=”wp-block-image”><figure class=”aligncenter”><img src=”https://aideastep.com/wp-content/uploads/2021/07/Demonstration-of-the-varus-stress-test-a-performed-at-0-degrees-of-knee-flexion-and-b-300×300.png” alt=”” class=”wp-image-6871″ /></figure></div>
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<h2><em><strong>Daily correction method for O-legs></em></h2>
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<strong><em>O leg corrective exercise</em>></p>
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1. Eight-step correction method. Step backward, pay attention to the heels first to the ground and go straight. Take eight steps at a time.</p>
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2. The method of exercising the inner leg muscles: Separate your feet with shoulder-width apart, buckle your feet slightly inward, and buckle your knees inward to do squat and stand movements. One set of 20 times, 2 to 4 sets a day. There is no need to squat down completely.</p>
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<em><strong>Daily small details to correct O-legs></em></p>
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1. When going up and down stairs</p>
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When going up and down the stairs, you are also very knowledgeable! Climbing with your body, crawling with your head down, climbing with your feet, climbing 2-3 blocks at a time… This will not work! This has a great burden on the feet and spine, especially the weight-bearing knees and The ankle is even worse.</p>
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Correct posture:</p>
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X-shaped legs: Climb stairs with the power of toes or heels</p>
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O-shaped leg: the waist is straightened, and the center of gravity is on the entire sole</p>
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2. Home exercise correction</p>
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1) Relax the whole body, let your hands hang down naturally, and put a towel between your legs.</p>
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2) Straighten the back, hold the chair with both hands, clamp the towel, and slowly squat down.</p>
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3) Squat to the sorest position of the leg, stay for 5 seconds, and stand up while breathing in. Do 20 times a day.</p>
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3. Folk osteopathy to correct O leg</p>
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1) Sit on the floor or bed with your back straight, your legs close together, and your knees must touch each other.</p>
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2) Wrap and fix the calf tightly with a rubber band or tire skin and other very elastic rope. After winding it, lie down or sit still. After 15-20 minutes, it can be removed.</p>
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<div class=”wp-block-image”><figure class=”aligncenter”><img src=”https://aideastep.com/wp-content/uploads/2021/07/bowing1-225×300.jpg” alt=”” class=”wp-image-6872″ /></figure></div>
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<h2><em><strong>Non-surgical correction of O-legs></em></h2>
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Manipulative correction treats O-legs by correcting joint displacement. The principle of the leggings and the ortho instrument is basically the same. They both relax the medial collateral ligament of the knee joint to restore the stable structure of the inner and outer knee joints. Thereby, the tibia can be rotated externally to achieve the correction goal.</p>
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Non-surgical correction methods have the advantages of low cost and low risk, while defects are active treatment, which is slow to take effect and requires long-term persistence. The purpose of correction cannot be achieved without perseverance.</p>
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<em><strong>1. Exercise></em></p>
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The correction method of “O” leg through exercise is as follows:</p>
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1) Stand upright, with your feet together, knees in both hands, squat and stand up movement with both knees facing straight ahead. Do 20-30 reps.</p>
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2) Bend down, hold the knees with both hands, and do left and right circular movements, doing 20 to 30 times.</p>
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3) Stand with your feet slightly wide open, bend your waist, hold the knees with both hands, do the exercises of stopping the knees facing inwards, stopping for 10 seconds each time, do 5-10 times.</p>
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4) Stand with your feet parallel. First, use the heel as the axis to do toe abduction and internal rotation; then use the toe as the axis to do heel abduction and internal rotation, each 20-30 times.</p>
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5) Sit on a chair and try to hold the book with your calves for a certain period of time. If you tie your knees with a rubber band, the effect will be more significant.</p>
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6) Kneeling on your lap, collapse your waist, slowly move your feet forward, and your waist gradually straightens. Do 15-20 times.</p>
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7) Squat down, keep your upper body upright with your hands on your hips, open your legs 15-20 cm, and your toes slightly outward. When you inhale, close your knees and squat slowly. Squat as deeply as possible and stay for a while, feeling the leg muscles tight. stretch. When you exhale, slowly open your knees, stand straight, and repeat 10 times. When squatting, the knees and thighs are close together, which is effective for correcting O-legs. Lower waist squats as much as possible will be better.</p>
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Prevention and prevention of O-shaped legs are very important. Except for O-shaped legs caused by congenital and organic diseases, most other O-shaped legs are due to acquired bad habits (kneeling, cross-legged, exercise, walking posture, etc.) )Caused. Pay attention to these in daily life and avoid the formation of O-legs. Even patients who have been corrected by various methods should pay attention to various bad habits to avoid leg-shaped recurrence.</p>
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<em><strong>2. Orthotic insoles></em></p>
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The orthopedic insole is high on the outside and low on the inside. It can give the calf an outward rotation force when walking or standing and can prevent the O-shaped leg from being aggravated and formed due to poor walking posture. Convenient to use, but effective for patients with mild O-legs, and not suitable for patients with higher O-legs.</p>
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<div class=”wp-block-image”><figure class=”aligncenter”><img src=”https://aideastep.com/wp-content/uploads/2021/06/KO11070��ͼ-6-300×300.jpg” alt=”Knee Varus Orthotic Insoles” class=”wp-image-6252″ /></figure></div>
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<em><strong>3. Correction of splints and leggings></em></p>
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This method is simple and easy to implement, and the ligaments at the knee joint can be adjusted through the pressure generated by the splint and binding. The advantage is that it does not require surgery and is easy to operate on. The disadvantage is that it requires persistence, and the splint and binding can easily cause damage to the blood vessels and nerves in the knee joint, and in severe cases, it can cause nerve necrosis.</p>
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<em><strong>4. Instrument correction></em></p>
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The instrument also adjusts the medial and lateral ligaments of the knee joint. The disadvantage is that active treatment is required, and the length of the correction cycle needs to be determined according to the patient’s physique and perseverance, which is much higher than the cost of splinting and binding. The advantage is that it can avoid damage to the blood vessels and nerves of the knee joint.</p>
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<h2><em><strong>Traditional surgical treatment of O-legs></em></h2>
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Knee varus deformity (D, O-shaped legs) is a common lower extremity deformity. The patients are mostly adolescents and can affect one or both lower extremities. The causes of the disease include rickets (children and juveniles), epiphyseal necrosis, or epiphyseal development abnormal. Knee varus not only affects the appearance but also causes the transfer of the weight-bearing line of the lower limbs. Over time, it can cause laxity of ligaments on the tension side, ligament contracture on the pressure side, degenerative arthritis, dislocation of the patella, and softening of the patella. All kinds of symptoms. Although the diagnosis is not difficult, finding the cause, direction, and severity of the deformity, and choosing the appropriate treatment is an important clinical task for orthopedic surgeons.���� Older and severely deformed cases often require orthopedic surgery. Satisfactory orthopedic results depend on carefully designed surgical plans before surgery. Knee varus is associated with internal rotation of the tibia, which can cause shortness of limbs unilaterally and short stature on both sides. It should be corrected at the same time during surgery. For knee varus caused by special causes (such as low-phosphorus and anti-D renal rickets), medical treatment is often required. After the condition is stabilized, osteotomy and orthopedic surgery are feasible.</p>
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Traditional knee varus treatment usually uses lateral incision of the lower leg, wedge osteotomy at the upper end of the tibia, oblique osteotomy of the fibula in different planes, and cross internal fixation with an L-shaped nail plate or Kirschner wire, and a plaster cast. External fixation.</p>
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<div class=”wp-block-image”><figure class=”aligncenter”><img src=”https://aideastep.com/wp-content/uploads/2021/07/4735-woman_runner_knee_pain-732×549-thumbnail-732×549-1-300×225.jpg” alt=”” class=”wp-image-6873″ /></figure></div>
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<h2><em><strong>modern surgical correction of O-legs></em></h2>
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Surgery is suitable for patients who have severe O-legs, or who have suffered from osteoarthritis and joint pain. The advantage of surgery is a passive treatment, correction is immediate, without perseverance and persistence. The disadvantage is that the surgical techniques are different, most of which require osteotomy, which is more painful and risky, and the cost is higher.</p>
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1. Tibial tuberosity inverted U-shaped osteotomy, postoperative tubular plaster external fixation.</p>
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According to statistics, the complete correction rate of O-leg deformity can reach more than 70%.</p>
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2. Tibial tuberosity inverted U-shaped osteotomy, postoperative external fixator fixation.</p>
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The main advantages of this method are: the operation of osteotomy is simple, safe, bone healing is fast, and delayed healing is not easy to occur. The use of an external fixator is convenient to grasp the angle of plastic correction, which can make the bone healing angle accurate and easy to adjust. The patient can move down the ground during the treatment, and the muscles of the lower limbs will not atrophy.</p>
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3. Osteotomy orthopedic plate and screw internal fixation treatment.</p>
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