Deformity Correction

Overview

Deformity correction involves surgical realignment of bones that are angulated, rotated, or otherwise misaligned. Skeletal deformities can affect the legs, arms, or joints and may result from trauma, prior surgery, congenital conditions, or growth disturbances. Left untreated, a significant deformity can lead to abnormal stress on adjacent joints, chronic pain, and progressive arthritis.

Our San Diego orthopedic trauma team specializes in evaluating complex deformities and developing precise surgical correction plans. Using preoperative imaging, detailed angular measurements, and advanced fixation techniques, we aim to restore normal alignment, improve function, and prevent long-term joint damage. Whether the deformity is the result of a fracture that healed crookedly or a condition that has been present for years, we provide thorough evaluation and individualized treatment.

Causes

• Post-traumatic malunion — fractures that healed in malalignment
• Growth plate injuries — damage to a growth plate in childhood can cause progressive deformity as the bone continues to grow asymmetrically
• Congenital conditions — some patients are born with angular or rotational deformities of the limbs
• Metabolic bone disease — conditions such as rickets or Paget disease can weaken bone and lead to bowing
• Prior surgery — deformity can occasionally develop after previous orthopedic procedures

Treatment Options

Acute Correction

For moderate deformities with healthy soft tissues, a single-stage corrective osteotomy may be performed. The bone is carefully cut, realigned, and secured with plates and screws or an intramedullary nail. This approach allows immediate correction and typically provides stable fixation for early rehabilitation.

Gradual Correction

Complex, multiplanar, or severe deformities may require gradual correction using an external fixation frame. The frame is attached to the bone through small pins and wires, and daily adjustments slowly move the bone into the correct position over several weeks. This approach allows precise control and is particularly useful when simultaneous lengthening is needed.

When to See a Doctor

If you notice progressive limb malalignment, an abnormal walking pattern, or joint pain that may be related to a bone deformity, schedule an evaluation at our San Diego office. Timely correction can prevent further joint deterioration and improve quality of life.