Bow Legs: Surgery Impact on Height and Recovery - Orthopedics

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When considering surgery for bow legs, also known as genu varum, it's important to understand both the potential impact on height and the recovery process. Bow legs can cause a noticeable gap between the knees when the feet are together, and in your case, a gap of 4-5 cm is significant.
1. Impact on Height: The primary goal of surgery for bow legs is to realign the bones to improve function and reduce discomfort. While some patients may experience a slight increase in height post-surgery due to the realignment of the legs, it is not guaranteed. The change in height is usually minimal and varies from person to person. The surgery typically involves osteotomy, where the bone is cut and repositioned. This procedure does not aim to lengthen the bones but rather to correct their alignment. Therefore, while you may feel taller due to improved posture and alignment, the actual increase in height may not be substantial.

2. Simultaneous Surgery: Performing surgery on both legs at the same time is possible and is often referred to as bilateral osteotomy. However, this decision depends on several factors, including the severity of the deformity, your overall health, and the surgeon's recommendation. Bilateral surgery can lead to a longer recovery period, but it may also allow for a more efficient rehabilitation process since you will only undergo one recovery phase instead of two separate ones. Your surgeon will evaluate your specific case and advise you on the best approach.

3. Recovery Process: The recovery from bow leg surgery typically involves a period of immobilization followed by rehabilitation. After surgery, you may need to use crutches or a walker for a few weeks to avoid putting weight on your legs. Physical therapy is crucial in the recovery process to regain strength and mobility. The initial recovery phase can take several weeks, but full recovery, including the return to normal activities, may take several months. It's essential to follow your surgeon's post-operative care instructions closely to ensure optimal healing.

4. Post-Surgery Considerations: After surgery, you may experience swelling, discomfort, and a limited range of motion initially. Pain management and rehabilitation exercises will be key components of your recovery. It's also important to monitor for any signs of complications, such as infection or improper healing. Regular follow-ups with your surgeon will help track your progress and address any concerns.

5. Long-term Outlook: Many patients report significant improvements in their knee function and overall quality of life after surgery for bow legs. However, as with any surgical procedure, there are risks involved, including the potential for complications. Discussing these risks with your surgeon will help you make an informed decision.

In summary, while surgery for bow legs can improve alignment and function, the impact on height is generally minimal. The decision to operate on one or both legs simultaneously should be made in consultation with your surgeon, considering your specific circumstances. Recovery will require time and commitment to rehabilitation, but many patients find the outcomes worthwhile in terms of improved mobility and reduced discomfort.