Knee malalignments such as an bow-leg or in-knee increase the risk of early cartilage damage and thus arthrosis due to unphysiological overloading of the knee joint. To avoid this, timely diagnosis, observation and treatment are recommended.

Prof. Schoettle attaches particular importance to the diagnosis in order to understand whether the malposition is static (permanent) or dynamic (muscular, ligamentous) and whether the malposition is caused by the thigh (femur) or the tibia.

It is important to carry out a 4D gait analysis. Not only the leg axes can be measured, but also foot deformities and hip tilting can be detected. In this way, the leg can be assessed in a loaded and unloaded condition.

The therapy always depends on the clinical symptoms of the malposition. However, the progression of the overload should also be halted/delayed in order to avoid consequential damage such as meniscus, cartilage damage and arthrosis. The main focus is always on relieving pain and restoring the mobility of our patients. On the basis of the gait analysis, the imaging and our examination and your expectations, we discuss the various options with you.

Knie Fehlstellung



In addition to weight reduction, physiotherapy, which strengthens the core muscles and thus reduces the strain on the knee joint, is the first choice for reducing pain in knee malposition. At the same time, a supply of insoles is urgently recommended to relieve overloaded regions. With these two approaches the load can be reduced and the progression of cartilage damage can be reduced.
In order to protect and build up the cartilage, we strongly recommend simultaneous cell therapy. While steroids may be justified at a first attempt to reduce pain and inflammation, other therapies such as blood plasma in combination with hyaluronic acid or the even more effective stem cells should be used.
Make an appointment with Prof. Schoettle to inform yourself about the therapy tailored to your needs.


If the cartilage has already been affected by the knee malposition and there is permanent load-dependent pain or if the conservative therapy has not completely achieved the desired success, a correcting osteotomy is recommended to correct the bowleg or in-knee.

The osteotomy for the change of position permanently ends the overload, the bone as well as the cartilage can recover and the probability of an artificial joint replacement can be significantly reduced. Due to our extensive experience with several hundred osteotomies and osteotomies during our work at the Technical University of Munich both on the upper and lower leg and the high precision of Prof. Schoettle, we are able to perform this procedure with very small incisions and an early partial load directly on the day after the operation with a maximum risk reduction.


The osteotomy / axis correction is performed as an inpatient procedure. The patient will be hospitalized for 3-5 days. To reduce pain, you will initially receive a pain catheter and will be mobilized the day after the osteotomy with our specialized therapists. It is not necessary to wear a splint.

After the osteotomy, it is necessary to use crutches with a partial load for a maximum period of 4-6 weeks. Afterwards, the load can be applied quickly according to the pain syndrome. Depending on your professional activity, light physical activities are also possible. An X-ray control is necessary after 6 and 12 weeks. As soon as you no longer need crutches, you can drive again.

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Prof. Dr. med. Philip Schoettle
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