Knock Knees (Genu Valgum) and Sports: Returning to Activity After Surgery

Knock knees (genu valgum) cause the knees to angle inward, potentially leading to pain, instability, and activity limitations. Surgery (osteotomy) is considered when conservative measures (PT, bracing) fail.

Surgical Correction

Procedures realign the femur and/or tibia via controlled bone cuts (osteotomies), stabilized with plates/screws or external fixation. Approach depends on age, severity, and deformity location.

Recovery Timeline

• Weeks 0–6: Protected weight-bearing (crutches), brace, early ROM exercises.
• Weeks 6–12: Progressive weight-bearing, strengthening, gait training.
• Months 3–6: Advanced strengthening, sport-specific drills, agility.
• 6–12 months: Full return to sports with clearance.

Long-Term Outlook

Most patients return to running and sports after full rehabilitation. Adherence to PT and gradual progression are crucial to prevent re-injury. Regular follow-up ensures proper alignment maintenance.