Knee malalignment refers to an abnormal angular relationship between the thigh bone and shin bone — either bow-legged (varus) or knock-kneed (valgus) — that shifts weight-bearing forces unevenly across the joint.
Can be present from growth and development, result from prior fracture or injury around the knee, or develop gradually as a consequence of arthritis wearing down one side of the joint more than the other.
Pain concentrated on one side of the knee (inner side with bow-legs, outer side with knock-knees), a visible angular deformity, and accelerated wear or arthritis on the overloaded side of the joint over time.
Mild malalignment without significant symptoms is often simply monitored. When malalignment is contributing to pain, cartilage damage, or accelerated arthritis on one side of the knee, a corrective osteotomy — realigning the bone to shift weight-bearing forces to the healthier side of the joint — can relieve pain and protect the joint, particularly in younger patients hoping to delay knee replacement.
Think you might have this condition? An accurate diagnosis starts with an exam — schedule a consultation with Dr. Thomson.
Schedule a ConsultThis page is for general educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment. Every injury is different — always consult Dr. Thomson or another qualified physician for a personalized evaluation.