Bow Legs (Genu Varum) Correction Surgery
High Tibial Osteotomy Procedures
Dr. Fawzy Issa specializes in adult bow legs correction surgery using High Tibial Osteotomy procedures. These surgical techniques are designed to improve leg alignment, help redistribute joint weight more evenly, and are aimed at helping reduce the risk of arthritis progression that can develop from untreated bow leg deformity.
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Understanding Adult Bow Legs
Patients with bow legs may experience increasing knee discomfort during daily activities as they age. This progression occurs due to decades of uneven weight distribution across the knee joints, which can accelerate cartilage wear.
What happens over time:
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Uneven weight distribution: The inner (medial) part of the knee bears too much weight
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Cartilage wear: Cartilage wears down faster than normal, leading to early arthritis
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Progressive pain: Pain increases with walking, stairs, and standing activities
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Worsening deformity: The deformity may actually worsen as arthritis progresses
The Good News
Correcting bow legs before severe arthritis develops is designed to help mitigate the progression and may help patients avoid needing knee replacement surgery later in life.
When Bow Legs Correction Surgery is Recommended
Dr. Fawzy evaluates each patient individually, but surgery is typically recommended for adults when:
Knee Pain
Pain is present during daily activities or while at rest.
Early Arthritis
Arthritis is visible on X-rays, showing cartilage damage
Functional Limitations
Walking, exercise, or normal activities become difficult
Progressive Worsening
Pain or deformity continues to worsen over time
Patient's Personal Goals
The patient has a personal goal to improve the cosmetic appearance of their legs.
Knee Joint Preservation
The focus is on preserving the natural knee joint for as long as possible.
A good rule of thumb for bow legs: it's often better to explore your options sooner. An early assessment can help you manage the condition before it gets worse.
High Tibial Osteotomy: Realigning the Knee Joint
For most adult bow legs cases, Dr. Fawzy performs a High Tibial Osteotomy (HTO) - a well-established procedure that realigns the leg bones with the goal of improving the knee's weight distribution.
Precise Planning
Standing X-rays measure your exact deformity. Computer analysis helps identify the target correction angle. A custom surgical plan is designed for the patient's specific anatomy.
Specialized Surgery
Small incision below the knee. Bone is carefully cut and repositioned. Internal plate and screws hold the correction. Typically 60-90 minutes in surgery.
Immediate Stability
Patients can bear weight right after surgery. Internal fixation provides strong support. No external frames or bulky devices needed.
What to Expect: Recovery Timeline
Clear expectations for the recovery journey
First 2 Weeks
Walking with crutches for support. Pain is managed with modern techniques. Regular wound care and follow-up appointments.
Weeks 3-6
Gradually increase walking distance. Physical therapy begins. Return to office work becomes possible.
Months 2-3
Full weight bearing without aids. Walking typically becomes more comfortable and natural. Light exercise can resume safely.
Months 4-6
Return to all activities including sports. This marks a key milestone where bone healing is advanced and the corrected alignment is strong.
Why Choose Dr. Fawzy for Bow Legs Correction
Specialized Expertise in Precise Osteotomy Techniques
Dr. Fawzy's experience with complex cases benefits his approach to High Tibial Osteotomy. The lessons learned from challenging surgeries are applied to every procedure, focusing on careful planning and execution.
40+ Years of Surgical Experience
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FRCS fellowship training in the UK
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Has performed thousands of orthopedic procedures
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Focus on bone realignment techniques
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Meticulous surgical planning for each patient's unique anatomy
International Training with Local Convenience
Access the expertise that comes from UK fellowship training, right here in Kuwait. Dr. Fawzy provides dedicated local care, removing the need for medical tourism
The Kuwait Advantage: The Benefit of High-Quality Local Care
With Dr. Fawzy's UK-fellowship training, you have access to a high standard of surgical care right here in Kuwait. This allows for convenient consultations, the procedure itself, and all follow-up care to happen close to home, with the support of your family. And with no language barriers or cultural misunderstandings.
Addressing Common Questions
"What are the expected outcomes?"
Dr. Fawzy uses his four decades of experience and UK-fellowship training to create a detailed surgical plan for each patient. The goal is to achieve a successful correction and a positive long-term outcome.
"How long will the results last?"
The procedure is designed to provide a lasting correction to the leg's alignment. This aims to improve knee mechanics for years to come, potentially delaying or reducing the need for future knee replacement.
"What about timing considerations?"
Bow legs deformity and associated arthritis typically progress over time. Earlier correction generally provides better outcomes and may help prevent the need for more complex procedures later.
Learn About Bow Legs Correction Options
Discover how High Tibial Osteotomy procedures are designed to improve leg alignment and help prevent arthritis progression.
Schedule your consultation today to learn how Dr. Fawzy can help improve leg alignment and function.