What it is Genu varum (bowed legs)?

Medically referred to as Genu Varum, Bow legs are a condition where the child’s legs are bowed outwards in the standing position. That is, when the ankles are placed together the knees are apart. When misalignment is mild and pain-free, bowed legs are not usually of concern. However, it is possible that bowed legs predispose people to other issues such as pain, osteoarthritis, lateral ankle impingement, and issues associated with excessive loading.


Bowed legs are commonly seen in infants and can be a natural part of development. Generally, the knees should straighten around age three. After the age of three there maybe be associated conditions that cause Genu Varum. These may include Bone Disease (Rickets or Blount’s disease). Fractures that do not heal properly may also cause Genu Varum.

Blount’s disease is a condition that can occur in toddlers, as well as in adolescents. It affects the growth plates around the knee specifically in the upper part of the shinbone (tibia). The disease causes growth to either slow or stop completely.


  • When the ankles are placed together the knees are apart.
  • Poor foot mechanics such as excess rolling outward of the feet (supination)
  • Lower leg problems
  • Awkward walking pattern
  • Turning in of the feet (intoeing)
  • Discomfort in the hips, knees, and/or ankles (typically seen in older children and adults)


Understanding the underlying causes and properly diagnosing your condition is the first step to treatment. We then provide a holistic approach to helping patients and their families through their surgical journey. Properly supporting you and/or your child, while educating you on the details helps us ensure the most successful outcomes possible. Our hands on, team approach makes patients feel supported throughout the whole treatment process.

To learn more about your condition and receive a diagnosis, schedule a virtual consultation with one of our experienced orthopedic doctors. During this consultation, all your questions will be answered as our specialists guide you through the evaluation process.

Conservative treatment

Physiotherapy, Anti-inflammatory medication, Braces can all be used as conservative methods of treatment. The following injections may also be used in adults:


Cortisone injections


Viscosupplement for joint


Injections for joints

Surgical treatment


Acute Deformity Correction


Epiphysiodesis and Hemiepiphysiodesis


Gradual Deformity Correction with External Fixation


Gradual Deformity Correction with Internal Fixation

Case studies

13 year old girl with rickets (underlying bone problem)
17 year old girl with rickets


Are you experiencing an orthopedic condition and would like to improve your physical capabilities?

Or you simply would like to achieve your long-lasting dream of improving your height?

Let us help you achieve your optimal health and wellness in a professional setting.

Let’s open up a discussion to help you achieve your goals.

Highly specialized expert care at CLLC

At the Canadian Limb Lengthening Centre we offer complex deformity correction and limb lengthening surgeries performed by experienced surgeons with the most up to date technologies. When it comes to your care, and treatment of deformity and limb length discrepancy, our surgeons have extensive training and experience.