What are Rotational deformities?

Rotational deformities of the legs occur when there is excessive torsion of the femur and/or tibia. Internal tibial torsion (ITT) is the most common of the rotational deformities. These kinds of malalignments can cause the feet to point inward or outward (in toeing /out toeing), depending on the direction of the deformity (inward or outward). A vast majority of rotational deformities that are seen in children, are normal variations that will improve with time. Some teenagers and older children with exaggerated torsion may develop pain. Rotational deformities normally do not cause problems in adulthood.


Rotational deformities can be caused by position and pressure in the uterus during pregnancy. It is important to determine if the deformity is from this, or from a more serious condition like a neurological problem. Contractures in the hip and knee joint at birth may also be a part of the cause for various deformities. It is believed that some people are genetically predisposed to rotational deformities. Less common, injury or trauma such as fractures of the femur and tibia may result in malunions and torsion or one limb.


  • Pain and discomfort due to mechanical issues
  • Pain in the back, hip, knee, or ankle.
  • Difficulty with excess load bearing
  • Abnormal gait when walking
  • Feel that point inward or outward


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
  • Braces
  • Orthotics
  • Anti-inflammatories

Surgical treatment


Acute Deformity Correction


Gradual Deformity Correction with External Fixation

Case studies


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.