Surgery Risks and Costs for Mild X-Leg Correction - Orthopedics

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Surgical issues related to mild genu varum (bowleggedness)?


I have mild genu varum (bow-leggedness), with X-ray measurements of 3° and 5°.
The doctor mentioned that it was caused by insufficient muscle development during my growth period (173 cm).
The growth plates have fused, and the only correction method is surgery (he referred to it as osteotomy).
I looked it up online, and it seems to be a type of osteotomy.
I would like to know if the surgery for genu varum carries significant risks, and what the approximate cost of the surgery might be (since it is mild, the doctor said there is no need for correction, and I'm unsure if insurance will cover it).
I have tried various exercises to correct my leg shape, but none have been effective.
I hope the doctor can answer my questions.
Thank you.

Max, 10~19 year old female. Ask Date: 2019/06/30

Dr. You Dianqi reply Orthopedics


Hello: If the angle you mentioned is accurate, the normal valgus angle of the knee for most individuals is 5-7 degrees, while you stated yours is approximately 3-5 degrees.
Therefore, what is the necessity for valgus correction? Our physical characteristics are inherited from our parents, and it is important to understand that any surgical procedure is based on the premise of causing some form of disruption.
Only when there is a "clear" necessity for surgery should it be considered.
Thus, regarding your questions about risks and costs, I cannot provide answers because I "strongly advise against" you undergoing surgery (assuming the information you provided is correct).
Thank you.

Reply Date: 2019/06/30

More Info


When considering surgery for mild X-leg (also known as genu varum), it is essential to weigh the risks and costs associated with the procedure. Based on the information you provided, your X-ray angles of 3° and 5° are within the normal range for knee alignment, which typically allows for a slight degree of varus alignment. This suggests that surgical intervention may not be necessary, especially since your doctor indicated that the condition is not severe enough to warrant correction.


Risks of Surgery
Surgical procedures, particularly those involving osteotomy (the surgical cutting of bone), carry inherent risks. These risks can include:
1. Infection: Any surgical procedure can lead to infection at the incision site or deeper within the joint.

2. Nerve Damage: There is a risk of damaging surrounding nerves, which could lead to numbness, weakness, or other complications.

3. Blood Clots: Surgery can increase the risk of developing blood clots in the legs, which can be serious if they travel to the lungs.

4. Nonunion or Malunion: After an osteotomy, there is a possibility that the bone may not heal properly, leading to further complications.

5. Pain and Stiffness: Post-operative pain and stiffness are common, and some patients may experience chronic pain even after recovery.

Given that your X-leg condition is mild, the potential risks of surgery may outweigh the benefits. It is crucial to have a thorough discussion with your orthopedic surgeon about your specific situation, including the necessity of the procedure and alternative treatment options.


Costs of Surgery
The cost of osteotomy surgery can vary widely based on several factors, including:
1. Geographic Location: Surgical costs can differ significantly depending on where you live.

2. Hospital vs. Outpatient Facility: The type of facility where the surgery is performed can affect costs.

3. Surgeon’s Fees: Different surgeons may charge varying rates based on their experience and reputation.

4. Insurance Coverage: Since your doctor mentioned that there may not be a need for correction, your health insurance may not cover the procedure. It is essential to check with your insurance provider regarding coverage for elective surgeries.

In general, the costs for osteotomy can range from several thousand to tens of thousands of dollars, depending on the factors mentioned above. If the procedure is deemed elective and not medically necessary, you may be responsible for the full cost.


Conclusion
Before proceeding with any surgical intervention for your mild X-legs, it is advisable to seek a second opinion from another orthopedic specialist. They can provide further insight into whether surgery is truly necessary and discuss non-surgical alternatives, such as physical therapy or specific exercises that may help strengthen the muscles around your knees.
Additionally, consider the psychological aspect of your condition. If your X-legs are not causing significant functional issues or pain, it may be worth exploring ways to accept your natural leg alignment. Ultimately, the decision to undergo surgery should be made after careful consideration of the risks, costs, and potential benefits, in consultation with qualified medical professionals.

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