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High Tibial Osteotomy

Get to know more about the High Tibial Osteotomy, a type of joint preservation surgery with Bumrungrad sports medicine specialist & orthopedic surgeon from this video.

 

What is High Tibial Osteotomy?

Get to know more about the High Tibial Osteotomy, a type of joint preservation surgery with Bumrungrad sports medicine specialist & orthopedic surgeon from this video.

What is High Tibial Osteotomy?

This is a type of joint preservation surgery meant for the aging varus or bow leggedd knee in which the medial compartment on the inside has osteoarthritis and the other parts in the front and the outside remain intact. 

This surgery aims to unload the degenerated part of the knee and shift the weight to the undegenerated surfaces of the knee.

 

Who is an appropriate candidate for High Tibial Osteotomy?

For patients with mild osteoarthritis who are bowlegged with lateral weight-bearing surface still intact, arthroscopic examination will be done to confirm that the lateral compartment is still under generated before commencing with the osteotomy.

Normally the axis of weight-bearing in the knee should be in the middle of the knee as shown by the green line. Abnormal weight-bearing is shown by the red line in the inner medial compartment of the knee. 
The osteotomy is performed in the proximal tibia and the medial open wedge gap will be created and fixed in place with a plate and screws.
 
After the osteotomy is done, it is confirmed intraoperatively that the weight-bearing line is shifted to the midline of the knee.
 
The bone gap created will heal on its own and new bone formation will occur.


Conclusion:
Under the concept of value medicine at Bumrungrad International, we provide many arthroscopic knee surgery packages that will fit to your individualized needs.

Here we also focus on high quality postoperative care and intensive physical therapy to bring you back to preoperative function as soon as possible.
 
 
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