Management of fractures in children, growth-related bone deformities, bow legs, knock knees, and selected pediatric orthopedic conditions with focus on proper growth and alignment.
Children are not simply small adults — their bones, growth plates, and healing patterns are unique. Paediatric orthopaedic conditions require specialist knowledge of child development, skeletal growth, and age-appropriate treatment strategies. Dr. Sachin Sharma manages a range of paediatric orthopaedic conditions with a focus on achieving the best long-term functional and growth outcomes.
Fractures in children differ from adult fractures in several important ways. Children's bones have growth plates (physes) which are areas of active bone growth. Injuries to these areas require careful management to prevent growth disturbance. Children also have a greater capacity for remodelling, meaning some degrees of angulation can correct as the child grows — this guides the choice between conservative and surgical management.
Common paediatric fractures treated include forearm fractures, supracondylar fractures of the elbow, femur fractures, and ankle fractures.
Some degree of bow legs and knock knees is a normal part of childhood development. However, significant or progressive deformities may require assessment and treatment. Mild cases are monitored with observation and guided exercises. Moderate to severe deformities may be corrected with guided growth techniques (using small implants that temporarily slow growth on one side of the bone) or, in older children, corrective osteotomy.
Growth plate (physeal) injuries must be identified and managed carefully. Displaced physeal fractures may require reduction and fixation to restore normal growth. Long-term follow-up is important to detect any growth disturbance early.
Assessment and management of flat feet, in-toeing, out-toeing, leg length discrepancies, and other growth-related concerns in children are also addressed on an individual basis.