Bone, joint, and musculoskeletal conditions in children cannot be managed by applying adult orthopaedic principles to a smaller frame. The skeleton of a child is still growing, with active growth plates at the ends of long bones that are vulnerable to injury in ways that adult bone is not, and that can be affected by conditions that simply do not exist in the adult population.
A fracture in a child near the growth plate carries implications for future bone growth that a fracture at the same location in an adult does not. Scoliosis that develops in a ten-year-old has a completely different natural history and treatment window from scoliosis that presents in a forty-year-old.
At KIMS Cuddles at KIMS Hospitals, Electronic City, paediatric orthopaedic Electronic City Bengaluru is provided by orthopaedic specialists experienced in the musculoskeletal conditions of childhood, for families across Electronic City, Hosur Road, Neeladri Nagar, and South Bengaluru.
Conditions We Manage
Developmental dysplasia of the hip is a condition where the hip joint does not develop correctly in infancy. It requires early identification and treatment to prevent joint problems in the long run. Detection at the newborn examination allows the most conservative treatment with a harness. Later diagnosis may require casting or surgical intervention. Our team assesses babies referred for hip screening and manages the full treatment pathway through to confirmed normal hip development.
Clubfoot is a congenital condition. The foot is turned inward and downward at birth, which affects approximately one in every thousand live births. When treated early using the Ponseti method, a structured programme of gentle manipulation and plaster casting followed by a minor Achilles tendon procedure and bracing, the vast majority of cases are corrected without major surgery. Our team uses the Ponseti method as the standard approach, beginning treatment in the first weeks of life for the best outcomes.
Scoliosis shows up as an abnormal curvature of the spine during the adolescent growth spurt. Mild curves require regular clinical and radiological assessment. Spinal brace can help correct moderate curves in children who are still growing if they wear it for the prescribed daily hours. Severe curves, or those progressing despite bracing, require surgical correction and spinal fusion. Early identification improves the range of management options available.
Genu valgum and genu varum (knock knees and bowlegs) are normal in very young children. They may require assessment if the condition is severe or if it remains beyond the expected age of resolution.
Perthes disease is a condition that disrupts the blood supply to the femoral head, leading to bone death and necessitating careful monitoring and management to safeguard hip joint development. Management is determined by age at presentation, extent of involvement, and stage of disease.
Slipped capital femoral epiphysis, where the growth plate of the hip slips, most commonly in adolescent boys, requiring surgical stabilisation to prevent further slippage and the joint damage that results from it.
Limb length discrepancy, managed conservatively or surgically depending on the degree of difference and the child's age, with the aim of equalising limb lengths before skeletal maturity.
Flat foot, distinguished between normal developmental flexible flatfoot, which requires no intervention, and symptomatic flat foot causing pain or functional limitation, where orthotics or occasionally surgery is appropriate.
Why Children's Fractures Need Specialist Attention
Fractures in children is quite different than those of adult fractures. The Salter-Harris classification system for growth plate injuries exists because damage to the growth plate at different levels carries different risks for future bone growth, and some fracture patterns that appear minimally displaced on X-ray carry significant risk if the growth plate is involved.
At the same time, children's bones have a capacity for remodelling that adult bone does not. Some degree of deformity that would require surgical correction in an adult can be accepted in a child with the expectation that growth will correct it over time. Knowing when to rely on remodelling and when to intervene requires clinical experience specific to paediatric bone treatment South Bengaluru.
Our team assesses all paediatric fractures before making decisions about conservative versus surgical management with the child's growth trajectory and long-term function as the primary consideration.
The Ponseti Method for Clubfoot
Our children's orthopaedic care Electronic City uses the Ponseti method for clubfoot. The programme begins in the first week of life wherever possible. Gentle manipulations and plaster casts applied weekly over approximately five to seven weeks correct the deformity progressively. A minor Achilles tendon procedure under local anaesthetic is performed in most children at the end of the casting phase. A boots and bar bracing programme then continues until the child is walking age to prevent relapse. When started early and followed through correctly, the outcomes are excellent and major surgical intervention is avoided in the vast majority of cases.
Rehabilitation and Physiotherapy
Many paediatric orthopaedic conditions require physiotherapy alongside or after surgical management. Our team at KIMS Cuddles at KIMS Hospitals, Electronic City works in close coordination with our physiotherapy team to ensure that rehabilitation is integrated into the management plan rather than arranged separately after the orthopaedic management is complete.
The coordination between orthopaedics, neurodisability, and physiotherapy is important when children with cerebral palsy require orthopaedic care. The surgical decisions are made after considering the neurological function and rehabilitation of the children.
Why Choose KIMS Cuddles at KIMS Hospitals, Electronic City
A child orthopaedic specialist Electronic City needs specific training in childhood musculoskeletal conditions, access to paediatric-appropriate imaging, and the support of a children's hospital infrastructure including paediatric anaesthesia and physiotherapy. At KIMS Cuddles at KIMS Hospitals, Electronic City, all of this is available within a single integrated children's hospital in South Bengaluru.
Book a Consultation
If your child has a bone or joint condition requiring assessment, or has been referred for a paediatric orthopaedic opinion, our team at KIMS Cuddles at KIMS Hospitals, Electronic City is ready to help. Book an appointment online or by phone.
