Specialized Surgical Care for Adolescents and Young Patients
Teenagers and adolescents with hip or knee problems often struggle with pain, limited mobility, or difficulty participating in sports and daily activities. Conditions such as juvenile arthritis and bone deformities of the hip and knee can worsen over time if not treated properly.
Dr. Nick Johnson specializes in surgical treatment for these complex conditions, focusing on joint preservation, deformity correction, and restoring mobility so young patients can return to an active and healthy lifestyle.
What is Juvenile Arthritis?
Juvenile arthritis is a condition that causes inflammation, stiffness, swelling, and pain in the joints of children and teenagers. Over time, this inflammation can damage cartilage and bone, leading to joint deformity, stiffness, and difficulty walking or participating in activities.
While many patients are treated with medications and therapy, some adolescents develop joint damage that requires surgical treatment to relieve pain, correct joint problems, and improve function.
Hip and Knee Bone Deformities in Teenagers
Bone deformities can develop during growth and may affect the alignment and function of the hip or knee joint. These deformities may be caused by growth abnormalities, prior injuries, arthritis, or congenital conditions.
Common problems include:
- Knock knees
- Bow legs
- Hip deformities
- Abnormal bone growth
- Joint misalignment
- Leg length differences
- Early joint wear and cartilage damage
Correcting these issues early can help prevent early arthritis and long-term joint damage.
Signs Your Teen May Need to See an Orthopedic Specialist
Parents should consider an orthopedic evaluation if their teen has:
- Persistent hip or knee pain
- Limping or walking abnormalities
- Knee alignment issues (knock knees or bow legs)
- Hip stiffness or limited range of motion
- Difficulty playing sports
- Joint swelling or stiffness
- Pain that does not improve with rest
- One leg appearing shorter than the other
Early diagnosis often leads to better treatment options and outcomes.
When Surgery May Be Recommended for Juvenile Arthritis
Surgery may be recommended when:
- Pain limits daily activities or sports
- Joint deformity is worsening
- Non-surgical treatments are no longer effective
- There is joint damage from juvenile arthritis
- Walking or movement is becoming difficult
- The deformity may lead to arthritis later in life
The goal of surgery in adolescents is usually joint preservation and deformity correction, not joint replacement whenever possible.
Surgical Treatment Options for Teens and Adolescents
Surgical procedures are customized based on the patient’s condition, growth stage, and severity of the deformity. Treatment options may include:
- Osteotomy to realign bones
- Hip preservation surgery
- Knee realignment procedures
- Correction of bone deformities
- Treatment for joint damage caused by juvenile arthritis
- Reconstruction procedures for hip and knee conditions
These procedures are designed to improve alignment, reduce pain, and protect the joint for the future.
Joint Preservation Surgery for Young Patients
Whenever possible, treatment focuses on preserving the natural hip and knee joint. Joint preservation surgery can correct alignment and joint mechanics, helping prevent early arthritis and delaying or avoiding the need for joint replacement later in life.
This is especially important for teenagers and adolescents who have many active years ahead.
Recovery and Rehabilitation After Surgery
Recovery depends on the procedure performed, but typically includes:
- Physical therapy
- Gradual return to walking and activities
- Strength and mobility exercises
- Follow-up monitoring during growth
- Return to sports after proper healing
Personalized Care for Teens and Families
Every adolescent patient is different. Treatment plans are based on:
- Age and growth stage
- Severity of deformity or arthritis
- Activity level and sports participation
- Long-term joint health
- Patient and family goals
A personalized surgical plan ensures the best possible outcome for both short-term recovery and long-term joint health.
If your teenager is experiencing hip or knee pain, limping, stiffness, or has been diagnosed with juvenile arthritis or a bone deformity, early evaluation can make a significant difference in long-term joint health.
Schedule a consultation to learn more about treatment options for juvenile arthritis and hip and knee deformities in teens and adolescents.

