4 Jul 2025 • In children under 8 years with healed nutritional rickets, coronal knee deformities tend to correct spontaneously within a year, reducing the need for surgical intervention.

Younger age was the strongest predictor of successful remodeling, with those ≤8 years showing a significantly lower failure rate (29.9%) compared to those >8 years (87.5%; OR 16.4).

Deformities ≤16.5° for valgum and ≤13° for varum showed higher potential for remodeling. Sex, deformity type, and laterality had no significant impact.

These findings suggest current surgical practices may overtreat cases that would otherwise resolve naturally, encouraging a shift toward conservative management in younger children.

Source: Lippincott Journals | Read Full Story