Rickets correction surgery encompasses a range of orthopedic procedures designed to address the skeletal deformities that result from rickets, a condition caused by severe vitamin D, calcium, or phosphate deficiency during childhood growth. Rickets leads to softening and weakening of bones (osteomalacia), causing characteristic deformities including bowed legs (genu varum), knocked knees (genu valgum), enlarged wrists and ankles, spinal curvature, and growth plate abnormalities. While nutritional rickets can often be prevented and treated with vitamin D supplementation and dietary modification, many children in Bihar and other parts of India present with advanced deformities requiring surgical intervention to restore normal alignment and function. Dr. Kumar provides comprehensive surgical management for children with rickets-related deformities, addressing both nutritional rickets (the most common form due to vitamin D deficiency) and hereditary forms such as X-linked hypophosphatemic rickets and vitamin D-resistant rickets. The severity of deformities varies widely, from mild angular deviations to severe multi-planar deformities affecting ambulation and quality of life. Surgical intervention is indicated when deformities persist despite adequate medical treatment with vitamin D and minerals, when deformities are severe enough to impair function, or when the child approaches skeletal maturity and conservative treatment is unlikely to achieve correction. The surgical approach to rickets correction depends on the type and severity of deformity, the child's age, and bone quality. For angular deformities of the long bones (legs and arms), Dr. Kumar employs guided growth techniques in younger children with open growth plates, using tension band plates or eight-plates to gradually correct alignment over 12-24 months. This minimally invasive approach involves placing small plates and screws across the growth plate on the side of the deformity (convex side), which slows growth on that side while normal growth continues on the opposite side, gradually straightening the bone. For older children nearing skeletal maturity or those with severe deformities, corrective osteotomy (surgical bone cutting and realignment) with internal or external fixation is performed. Osteotomy procedures for rickets correction involve precisely cutting the deformed bone, realigning it to correct the angular and rotational abnormalities, and stabilizing the correction with plates, screws, or external fixators. Dr. Kumar uses advanced planning techniques including standing alignment radiographs, angular measurements (mechanical axis deviation, joint orientation angles), and sometimes computer-assisted planning to determine the optimal correction angle and location. The Taylor Spatial Frame and Ilizarov external fixators are particularly valuable for complex multi-planar deformities, allowing gradual correction over several weeks while the patient remains mobile. These external fixators also enable simultaneous correction of length discrepancies, which commonly accompany rickets deformities. At Arthoscenter, Dr. Kumar emphasizes the importance of comprehensive medical optimization before surgery, ensuring vitamin D levels are normalized and bone quality improved to enhance healing. Our multidisciplinary approach involves collaboration with pediatric endocrinologists to manage the underlying metabolic disorder while addressing the skeletal manifestations. Surgical outcomes have been excellent, with over 85% of patients achieving normal or near-normal alignment and significant functional improvement. Post-operative care includes continued medical management of the underlying condition, physical therapy for strengthening and gait training, and long-term monitoring to prevent recurrence. Early intervention and comprehensive treatment provide these children with the opportunity for normal growth, development, and participation in activities.