Limb Deformities in Children

Children’s legs change shape as they grow, and many differences that worry parents are a normal part of development. A paediatric orthopaedic surgeon can tell which ones will correct themselves and which need treatment.

Limb deformity
Common patterns that are often normal
  • Bow legs are common in toddlers up to about two years of age
  • Knock knees commonly appear between about three and seven years, and usually straighten by around eight
  • In-toeing (walking pigeon-toed) is common in young children and usually improves by the age of eight to ten
  • Flexible flat feet are normal in young children
When to have it checked
  • The difference affects only one leg
  • It’s severe, or getting worse rather than better
  • It persists beyond the usual age range
  • Your child has pain, a limp, or tires easily when walking
  • One leg appears longer than the other
  • Your child is unusually short, or there is a family history of bone conditions
Congenital conditions

Some conditions are present at birth, such as clubfoot and developmental dysplasia of the hip, where the hip socket hasn’t formed normally. Early diagnosis and treatment, often in the first weeks or months of life, give the best chance of normal development

Assessment and treatment

Assessment includes watching your child stand and walk, measuring alignment and leg lengths, and sometimes X-rays. Many children need only monitoring. Where treatment is needed, options depend on the condition and the child’s age. They include casting or bracing; guided growth, a small operation that uses the child’s remaining growth to gradually straighten a limb; and, for more severe deformities, surgery to cut and realign the bone (osteotomy).

BMR Surgeons who Treat This

Dr S. Ragunandan.

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