Lower leg deformities are corrected using a procedure called osteotomy. This entails making a cut to the bone and then realigning bones and joints so they are correctly positioned. They are then stabilised, in some cases using an external fixator, as in limb lengthening surgery. A fixator is a frame that attaches to the end of the bone, keeping it in the correct position and allowing new bone to grow to fill any gaps. Osteotomies are an effective method of joint preservation. By realigning the joints so they are working correctly the procedure helps to prevent any further joint damage. You might be offered this type of surgery if you have had lower limb deformity since birth or early childhood, or if you have developed the condition as a result of an accident or injury. Deformities in children are often caused by genetic abnormalities, the position of the foetus in the womb or nutritional deficiencies.
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