Varus Knee: Symptoms, Causes, Surgery, and Treatment

Hey Everyone,
I was wondering if anyone can give some insights into an issue I think I may have when enlisting. I've searched alot of places online and can't really find an answer either with a recruiter, so I'm asking here.
I've heard things ranging from "the meps doctor will ask if it's an issue" to "it's an auto DQ and I need to wait maybe 7 months for a waiver" nothing about getting corrective surgery though.
I have 2 asymptomatic (does not cause issues) bunions. One on my left foot and one on my right foot (Big toes). Never had any problems with them. Here are my questions.

Will this be an issue at meps?
Should I get bunion surgery before enlisting and had anyone gotten it prior to coming into the army.
If I need it done in the army, will I get discharged? I've seen some stuff thrown around that you can be after having the surgery.

The only regulation I found was this in the Sept. 2020 edition DoDi 6130.03
Hallux Valgus=Bunion
Symptomatic deformity of the toes (acquired or congenital), including but not limited to conditions such as hallux valgus, hallux varus, hallux rigidus, hammer toe(s), claw toe(s), or overriding toe(s).
Admins, I'd appreciate if this can be left up. Not a whole lot of info online about it.
Appreciate any insight, thank you!

Hey Everyone,
I was wondering if anyone can give some insights into an issue I think I may have when enlisting. I've searched alot of places online and can't really find an answer either with a recruiter, so I'm asking here.
I have 2 asymptomatic (does not cause issues) bunions. One on my left foot and one on my right foot. Never had any problems with them. Here are my questions.

Will this be an issue at meps?
Should I get bunion surgery before enlisting and had anyone gotten it prior to coming into the army.
If I need it done in the army, will I get discharged? I've seen some stuff thrown around that you can be after having the surgery.

Also I pronate which means I have flat feet/high arches. The consensus I've seen is that as long as it does not hurt me then I'm fine?
In my case I belive I have some slightly high arches, nothing severe to cause issues though.
The only regulation I found was this in the Sept. 2020 edition DoDi 6130.03
Hallux Valgus=Bunion, Pes Cavus=High Arch, Pes Planus=Flat Feet.
Symptomatic deformity of the toes (acquired or congenital), including but not limited to conditions such as hallux valgus, hallux varus, hallux rigidus, hammer toe(s), claw toe(s), or overriding toe(s).
(4) Clubfoot or pes cavus that may reasonably be expected to properly wearing military footwear or causes symptoms when walking, marching, running, or jumping.
(5) Rigid or symptomatic pes planus (acquired or congenital).
Appreciate any insight, thank you!

The health of the child is the most important thing for parents. However, many parents do not know that many baby products are included in the "blacklist" and are not suitable for the baby to use, and may even bring some harm to the baby. Below, I have compiled a "blacklist" of some products that babies most often come into contact with in daily life for everyone. When you want to buy them, you can see it clearly!
Toddler belt and walker
The child has been sitting on a walker for a long time, and he has not undergone the training to climb, which will easily cause his feeling disorders in the future. In addition, after the child rides the walker, the weight of his whole body is pressed down. Although he is sitting and walking, his weight is pressed on both feet. So sometimes we see children walking in the shape of clubfoot when they are riding in a walker. After a long period of time, one is that it is easy to cause the child's lower extremity deformity, and the child is also easy to develop the habit of foot varus or foot valgus.
Open pants
Not to mention that the open crotch pants expose the baby's buttocks and vulva, and it is a big safety hazard that it is easy to be injured by sharp objects or burned. Moreover, in the case of female babies, the vulva is easily infected under the exposure of physiological reasons + open crotch pants, resulting in urinary tract infections such as urethritis and cystitis. Male babies wear open pants for a long time, they will play with their genitals and develop some bad habits.
Children's side pillow
This kind of pillow has caused the death of at least 13 babies in the past. The selling point of this type of sleeping position locator is to keep the child lying flat to prevent suffocation and sudden death after rollover. But things are counterproductive: lying on the side is not guarded, it is more troublesome for children to unintentionally get on the ground, it is best for babies to lie on their backs, the simpler the better, it is impossible to superfluous.

https://preview.redd.it/2qk44oyyozo41.jpg?width=700&format=pjpg&auto=webp&s=ce82657d607757161de63aa6d49ea90e8f67c013
What is:

Arthroplasty / total knee replacement in Delhi is a surgical intervention in which the worn-out joint surfaces of the femur, tibia and often the kneecap are replaced, as they are a source of disabling pain. Metallic and high-density polyethylene components are placed in place of damaged and painful joint surfaces.

Surgery objectives:

The main objective of placing a total knee prosthesis is to treat the pain caused by arthrosis and, at the same time, to improve joint mobility, increase its functional capacity and return quality of life. In some cases, arthrosis results from a misalignment of the knee in varus or valgus (knees arched or knees together, respectively), and then there is a second objective for knee replacement in Dwarka, which is the correction of this anatomical deformity.
The joint mobility to be achieved after the surgery will be between 100 to 130 degrees of flexion and the full extension. However, the main factor that determines the postoperative amplitude is the amplitude before surgery, so a knee with reduced mobility will have more difficulty in reaching the intended amplitude.

Indications:

All patients with an indication for total arthroplasty are frankly limited to activities of daily living, suffering from an intense and disabling painful condition, resistant to medical and physiatric therapy and without any other surgical option. The age factor should be evaluated according to the currently available statistical data, which shows that the survival of total knee replacement in Delhi is 90% at 10 and 80% at 20 years old (defined by the prostheses still functioning) respectively. However, the placement of knee prostheses can be proposed at younger ages, in particular clinical situations that have no other medical or surgical alternative, which will return the patient’s quality of life. The majority of patients are in the age group above 60 years, with the upper limit today dependent on general clinical condition, with many cases operated after age 80. The surgical risk will always be assessed in the Preoperative Anesthesiology Consultation. Another important factor, regardless of age, is the motivation of the patient and his family, in the face of disability and suffering caused by arthrosis, after an open discussion of the risks and benefits, especially if there are no serious pathologies, which may condition the patient’s longevity.
The patient with an indication for this surgery has more frequently developed osteoarthritis of idiopathic etiology (a cause is not identified), mechanical due to axis deviation or post-traumatic, due to sequelae of joint fractures.
Rheumatic diseases, especially rheumatoid arthritis, represent the second most important group of pathologies, due to their joint involvement.
Excessive body weight is not a contraindication, as long as the patient has a general condition compatible with the surgery. The long-term results are slightly lower, as far as surgery is concerned, however, it must be considered that obesity associated with limited mobility is itself a vicious cycle, both due to the medical pathologies that it originates and due to the greater body weight gain.
The longevity of the prosthesis mentioned above, motivates us to try whenever possible a more conservative surgical approach in younger patients, defined by age groups below 60 years of age. This approach consists of arthroscopic gestures, osteotomies for axis correction (“straightening crooked legs”) or even physiotherapy associated with medication and infiltrations in the context of regenerative medicine.

Complications / Risks:

Performing an arthroplasty implies risks that must be known to the patient. Possible postoperative complications include thromboembolism, which motivates mandatory pharmacological prevention, skin complications, and neurovascular injuries. The infection, often referred to as rejection, has an incidence of less than 1%, but may require new surgery to wash and replace the prosthesis.
The failure of arthroplasty may be due to aseptic detachment (loose components in the absence of infection, due to sensitivity to polyethylene wear) and premature wear of the material. In these cases, it also involves performing a new surgery for its revision/replacement, states orthopaedic in Dwarka.

Surgical technique:

The surgical technique we use today is called minimally invasive. It consists in the use of smaller skin incisions, but above all in a lesser aggression of the surrounding soft parts (muscles, synovial membrane, ligaments, vessels, and nerves), explains the orthopaedic in Delhi.
This approach allows for a less painful postoperative period, less blood loss, less risk of infection and a faster and less painful recovery. Most patients are able, after an initial period with support and load of the operated lower limb, with 2 crutches, to resume a gait without assistants for 1 to 2 months, depending on the condition of the contralateral knee.
In performing this surgery, general or loco-regional anesthesia can be used, depending on the patient’s and anesthetist’s decision, during the Anesthesiology Consultation.
The rehabilitation program starts during hospitalization, about 48 hours after surgery, leaving the patient to walk with the help of 2 crutches and able to go up and downstairs.

Postoperative Care:

The placement of a knee arthroplasty implies limitations for the practice of sports and should avoid activities with impact. However, walking, golf, gym, swimming, dancing, and cycling are allowed. Patients should promote the longevity of their prosthesis, avoiding overweight, intense physical efforts with impact (running), transporting heavy loads and hyperflexion postures.
Any infection that occurs, anywhere in the body, must be treated early and effectively, due to the risk of bacteremia (bacteria circulating in the bloodstream) that can contaminate the knee prosthesis from a distance. For the same reason, antibiotic prevention should also be systematically applied to all dental or endoscopic manipulations, using your attending physician whenever necessary, suggests the orthopaedic in Delhi.

The knee is a frequently injured joint, with its ligaments, menisci (a thin fibrous cartilage between the surfaces of some joints), and patellofemoral (knee) joint vulnerable to acute and repetitive use damage.
Most knee injuries require exercise training for rehabilitation, and some require surgery as well.
Predisposing factors to knee injury include the following:

Lower extremity malalignment (e.g. Q angle abnormalities, flat feet);
Limb length discrepancy;
Muscular imbalance and weakness.
Inflexibility;
Previous injury;
Inadequate proprioception;
Joint instability;
Playing surface and equipment problems; and
Slight predominance in females (particularly for patellofemoral problems).

Ligamentous sprains and tears are common in the knee, particularly in athletes. Because of its structure and insertion points, the anterior cruciate ligament (ACL) is more frequently injured compared with the posterior cruciate ligament (PCL). Classically, the ACL is injured when external rotation of the tibia is coupled with a valgus force on the knee (e.g. direct force from the lateral side of the knee, planting the foot and twisting the knee). Ligamentous sprains and tears are common in the knee, particularly in athletes.
The menisciare also frequently injured, particularly in athletes. The medial meniscus is more frequently torn than the lateral meniscus, due in part to its attachment to the medial collateral ligament. The menisci are poorly innervated (supplied with nerves) and relatively avascular (lack of blood vessels); thus, they are not very pain sensitive and are slow to heal following injury. The “terrible triad” is a traumatic sports injury in which the ACL, medial collateral ligament, and medial meniscus are damaged simultaneously
Patellofemoral pain syndrome is a common disorder in young athletes (particularly females) that produces anterior knee pain. Often, patellofemoral pain syndrome is caused by an off-center line of pull of the patella, which irritates the joint surfaces and retinaculum of the knee. An off-center pull of the patella can result from insufficiency muscular imbalance during knee extension and from excessive varus and valgus stresses (a deformity involving oblique displacement of part of a limb towards/away from the midline, respectively) from Q angles outside of the normal range of 13° to 18°.

Varus Knee: Symptoms, Causes, Surgery, and Treatment

varus and valgus deformity

varus and valgus deformity - win

Bunions in the Army?

Need some help.

Baby supplies blacklist inventory Are you still using this for your baby?

Total Knee Arthroplasty

Knee Pain & Injuries

varus and valgus deformity video

varus and valgus deformity top