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Adult Correction of Childhood Limb Deformities in Sussex

  • Writer: Alastair Robertson
    Alastair Robertson
  • Jul 14
  • 5 min read

Living with a Childhood Limb Deformity as an Adult


Living with bow legs, knock knees, or a leg length difference that started in childhood can be hard as an adult. You might plan your clothes around hiding your legs, avoid certain activities, or feel that pain is just something you have to put up with. Many adults in Sussex and Brighton have had these problems for years and are not sure if anything can still be done.


We focus on treating these deformities in adulthood. Even if your leg problem began as a child, we only see and treat adults, once growth has finished. Many patients searching for bow leg correction in Sussex are surprised to learn that meaningful correction is still possible later in life, with the right assessment and specialist surgery.


How Childhood Problems Lead to Adult Limb Deformities


Childhood issues can leave a lasting mark on the way your legs are shaped. Some common causes include:


  • Injuries to the growth plate around the knee or ankle  

  • Bow legs or knock knees that were never fully treated  

  • Fractures in childhood that healed in a twisted or bent position  

  • Conditions that affected bone growth on one side of the limb  


When you are young, the body often copes quite well. As time passes, the extra strain on joints and soft tissues can build up. Adults often come to us with:


  • Knee or ankle pain that is getting worse  

  • Early signs of arthritis on X‑rays  

  • A feeling that one leg is shorter than the other  

  • Trouble walking longer distances or keeping up with family  

  • A visible deformity that affects confidence in day-to-day life  


Assessment in adulthood is very different from assessment in children. Growth has finished, so we focus on your current function, your pain, and how your leg alignment is affecting your joints. Our aim is simple: to improve comfort, function and confidence, while trying to protect your joints for the future.


Why Specialist Limb Reconstruction Matters


Limb deformity in adults can be complex. The bend or twist might be in the thigh bone, the shin bone or both. The joint surfaces may already be under uneven pressure. This is where specialist limb reconstruction training becomes especially important.


At Sussex Limb Reconstruction, care is led by Mr Alastair Robertson and Mr Enis Guryel. Their work is focused on:


  • Limb reconstruction  

  • Deformity correction  

  • Limb lengthening  

  • Advanced fracture care  


Because their practice is centred on these problems, we are used to seeing difficult cases that do not fit simple patterns. For people seeking bow leg correction in Sussex, this means:


  • Detailed deformity analysis, not just a quick look at one joint  

  • Careful planning around the whole limb, including hip, knee and ankle  

  • A focus on long term joint preservation, not only short term symptom control  


Private care in Sussex and Brighton also brings some clear benefits. There are no long waiting lists, you have rapid access to named limb reconstruction consultants and there is time in clinic to explain your condition and your options in clear, everyday language. Treatment plans are shaped around your work, family life and personal goals, not the other way round.


How We Correct Childhood Deformities in Adults


The first step is a careful assessment. For adult deformity correction, we will usually:


  • Take a detailed history of your childhood problem and any previous treatment  

  • Examine how you stand, walk and move your joints  

  • Arrange standing X‑rays of the whole leg to see alignment from hip to ankle  

  • Use scanogram or CT in selected cases, and computer-based planning where helpful  


Once we understand the exact location and size of the deformity, we can plan surgery if it is right for you. Common options include:


Realignment osteotomy  

This means making a precise cut in the bone, then changing the angle so the leg is straightened or rotated into a better position. It is often the key step for bow leg or knock knee correction. By improving joint loading, it can reduce pain and slow wear on the cartilage.


Internal fixation  

The bone is held in its new position with plates and screws or a nail inside the bone. This is usually hidden under the skin. It allows the bone to heal in the corrected position and makes early movement easier in many cases.


External fixation  

In some complex deformities, or when lengthening is needed, an external frame may be used. This sits outside the leg, connected to the bone by small pins or wires. It allows gradual correction and lengthening over time.


Limb lengthening  

If there is a clear difference in leg length that causes limping or back pain, lengthening can be planned. This is done in a controlled way, using specialist techniques, and is usually combined with deformity correction so the leg ends up both straighter and better balanced.


Recovery takes time, and we will be honest about that. You can expect a period of protected weight bearing, regular check X‑rays in Sussex or Brighton, and a structured physiotherapy plan. The long term rewards can be significant, with:


  • Reduced pain and better walking pattern  

  • Improved leg appearance and confidence  

  • A lower risk of early arthritis in some joints  


Fracture Care Within Comprehensive Limb Reconstruction


Fractures are a key part of limb reconstruction work. A poorly treated fracture can leave a bend, twist or shortening that becomes a deformity problem later. By treating fractures carefully at the start, we often reduce the chance of needing complex reconstruction in the future.


At Sussex Limb Reconstruction, fracture care is integrated into our service. For adults in Sussex and Brighton with recent injuries, we offer:


  • Same-day consultation availability for fracture patients  

  • Emergency fracture care with direct access to Mr Robertson or Mr Guryel  

  • Rapid imaging and planning of definitive surgery where suitable  


Private fracture care pathways differ from standard NHS routes. Patients are seen quickly by limb reconstruction specialists, imaging is arranged without delay and surgery, when needed, is planned with deformity prevention in mind. This approach aims to reduce complications like:


  • Malunion (healing in the wrong position)  

  • Non-union (failure to heal)  

  • Leg length differences after fracture  


For some adults who later seek bow leg correction in Sussex, the root cause is a childhood or teenage fracture that healed poorly. Careful fracture management now can help avoid that scenario for others, and when problems do occur, the same reconstructive skills are used to correct them.


Your Path From First Visit to Recovery


Adults who come to us in Sussex and Brighton usually follow a clear, guided path. It often looks like this:


  • Direct booking for an initial consultation, including urgent options for fractures  

  • A full assessment by our limb reconstruction team, with time for questions  

  • Discussion of all reasonable options, including non-surgical paths when they are sensible  


If surgery is chosen, care is organised in a private hospital setting. This usually includes a stay on a ward familiar with limb reconstruction, regular reviews by your named consultant and close contact with physiotherapists who understand deformity correction and limb lengthening.


Follow-up does not stop when the bone has healed on X‑ray. We keep an eye on:


  • Alignment of the leg and how you are walking  

  • Joint comfort and range of motion  

  • Your return to work, sport and normal daily life  


Whether you come for complex fracture treatment or planned bow leg correction in Sussex, our focus is steady: adult limb reconstruction that aims to improve function, protect joints and help you feel more comfortable in your own body.


Take The Next Step Toward Straighter, More Comfortable Legs


If you are considering specialist care for your leg alignment, we can guide you through every stage from assessment to recovery. Whether you need bow leg correction in Sussex or want to explore your treatment options, our team will provide an honest, tailored plan. At Sussex Limb Reconstruction we focus on evidence-based techniques aimed at improving both function and confidence. Reach out today so we can discuss what is realistically achievable for your individual situation.

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