Kutch Orthopaedic
Hospital

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High Tibial Osteotomy (HTO)

High Tibial Osteotomy (HTO) is a surgical procedure used to correct angular deformities of the knee. Let me break it down for you:

1. What Is HTO?

 HTO involves cutting and repositioning the bone to correct the alignment of the knee joint.
It is primarily done to prevent or delay the progression of osteoarthritis in young patients with deformities.
The goal is to redistribute weight away from the damaged compartment of the knee, reducing stress and preserving joint function.

2. What is the purpose of a High Tibial Osteotomy?

HTO redistributes the stress of weight-bearing across the knee more evenly.

3. What is the recovery time for a High Tibial Osteotomy?

After surgery, there are 3 weeks of nil weight-bearing, followed by 6 weeks of minimal weight-bearing with crutches.
Rehabilitation with physical therapy continues for 12 weeks.
Most patients can recover to full activity within 6 months.

4. What evaluation is needed before a High Tibial Osteotomy?

You will need full-length X-rays and a physical examination.

5. Is Total Knee Replacement Surgery possible after an HTO procedure?

Yes, Total Knee Replacement Surgery is possible after HTO.

6. Is Osteotomy more painful than Total Knee Replacement?

No, there is no difference in pain.
Both surgeries become painless within about 3 weeks after the procedure.

7. What are the long-term results of High Tibial Osteotomy?

HTO is indicated for young people with knee arthritis.
HTO avoids the risks of placing an artificial knee joint in a young patient.