What are the indications for performing open angle tibial osteotomy?

The main indications for high tibial osteotomy are as a primary treatment for varus gonarthrosis and in conjunc- tion with cartilage restoration procedures, such as autologous chondrocyte implantation or microfracture, where success rates are enhanced by correcting the varus deformity.

Should I have a high tibial osteotomy?

The high tibial osteotomy is helpful for patients with underlying pain and loss of range of motion from arthritis that affects one compartment of the knee. Once the load is decreased on the affected side of the knee, there is a delay in the need for a total joint replacement procedure.

What is a high tibial osteotomy procedure?

A high tibial osteotomy is a surgical procedure that realigns the knee joint. For some patients who have knee arthritis, this surgery can delay or prevent the need for a partial or total knee replacement by preserving damaged joint tissue.

What is Fujisawa point?

This point – called Fujisawa point – matches over the mechanical axis with 3-5° valgus and locates slightly lateral to the lateral tibial spine. To determine the amount of required correction, a line is drawn from this point to the center of the femoral head and another to the center of the ankle joint.

How long does a high tibial osteotomy surgery take?

The surgery takes usually takes around 90-120 min. Most patients spend one or two nights in hospital.

What is closing wedge osteotomy?

A closing wedge osteotomy involves an incision on the lateral side of the knee and removes a small wedge of the tibia bone before reattaching the two remaining ends with a metal plate and screws.

What to expect after a high tibial osteotomy?

You will probably wear a knee brace for up to six weeks after surgery to protect the knee joint as you recover. Your stitches will normally be removed in 10 to 14 days. Recovery after a tibial osteotomy takes two to three months. During your recovery period, you should use your walker or crutches as instructed.

How long does a high tibial osteotomy operation take?

What is osteotomy surgery?

Osteotomy literally means “cutting of the bone.” In a knee osteotomy, either the tibia (shinbone) or femur (thighbone) is cut and then reshaped to relieve pressure on the knee joint.

What is proximal tibial osteotomy?

In the treatment of lower extremity malalignment and osteoarthritis, high tibial osteotomy is a procedure that allows for the realignment of the lower extremity and thereby either shifts the weight-bearing access to the healthier portion of the knee or corrects the alignment deformity.

Can you walk after an osteotomy?

Most patients will still be using crutches and performing leg-straightening exercises at 8 weeks. It may take 3 to 6 months for osteotomy patients to walk normally and regain full range of motion. It may be 12 months or more before patients can participate in high impact activities, such as jogging.

How long should you be on crutches after high tibial osteotomy?

You will most likely need to use crutches for several weeks. About 6 weeks after the operation, you will see your surgeon for a follow-up visit. X-rays will be taken so that your surgeon can check how well the osteotomy has healed.