What is High Tibial Osteotomy?
High Tibial Osteotomy (HTO) is a joint‑preserving knee surgery performed to correct bow‑leg deformity (varus alignment) and shift body weight away from the damaged portion of the knee joint.
It is commonly recommended for younger, active patients with early medial compartment arthritis, helping delay or avoid total knee replacement.
HTO – Surgical Technique
✔ Step‑by‑Step Procedure
Pre‑Operative Planning:
Detailed X‑rays and alignment analysis are performed to calculate the correction angle required.Incision & Bone Exposure:
A small incision is made on the upper tibia (shin bone).Osteotomy (Bone Cut):
A precise cut is made in the upper tibia while preserving the opposite cortex for stability.Alignment Correction:
The bone is gradually opened (medial opening wedge technique) to correct leg alignment and shift weight to the healthier side of the knee.Fixation:
The corrected position is secured using a specialized HTO plate and screws.Bone Grafting (If Required):
The gap may be filled with bone graft or substitute material to promote healing.Closure:
Wound is closed in layers; surgery typically takes 1–2 hours.
Advantages of HTO Surgery
Arthroscopy with HTO
In many cases, knee arthroscopy is performed simultaneously to:
- Address meniscus tears
- Treat cartilage damage
- Clean inflamed tissue
This improves overall joint function and surgical outcomes.
Post‑Operative Recovery
0–6 Weeks
- Partial or non‑weight bearing with support
- Knee range‑of‑motion exercises
- Swelling control
6–12 Weeks
- Gradual full weight bearing
- Strengthening exercises
3–6 Months
- Functional training
- Return to daily activities
Full recovery may take 4–6 months, depending on bone healing and rehabilitation progress.
Who is the Ideal Candidate for HTO?
- Age below 55–60 years
- Medial compartment knee arthritis
- Bow‑leg deformity
- Active lifestyle
- Preserved knee movement
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By thinking on behalf of our clients every day, we anticipate what they want, provide what they need & build lasting relationships. These are the concept that shape our distinctive culture & differentiate us from others.
We guide our clients through difficult issues, bringing our insight and judgment to each situa- tion. Our innovative approaches create original solutions to our clients
Project Information
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Patient Name: Wesley Jonson
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Category: Pain Management
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Location: United Kingdom
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Timeline: 22 Oct 2023 - 12 Nov 2023