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Joint Preservation

High Tibial Osteotomies

Joint preservation is an essential aspect of orthopedic care, particularly when addressing issues related to the knee joint. High Tibial Osteotomy (HTO) is a surgical procedure that falls under the category of joint preservation services, specifically designed to treat conditions such as osteoarthritis and certain ligament injuries that affect the knee joint. This procedure aims to alleviate pain, improve function, and delay or prevent the need for total knee replacement surgery. In this article, we will delve into the details of High Tibial Osteotomies, its indications, benefits, and frequently asked questions.

What is a High Tibial Osteotomy (HTO)?

A High Tibial Osteotomy is a surgical procedure that involves cutting and repositioning the upper part of the tibia (shinbone) near the knee joint. The primary goal of HTO is to shift the weight-bearing forces away from the damaged or arthritic part of the knee to a healthier part of the joint. This redistribution of forces helps to reduce pain and improve joint function.

Indications for High Tibial Osteotomies:

  • Osteoarthritis: HTO is commonly used to treat early to moderate-stage osteoarthritis in the knee joint, especially when the damage is localized to one side of the knee.

  • Alignment Issues: Patients with varus (bow-legged) alignment of the knee may benefit from an HTO, as it can correct this alignment, reducing stress on the damaged area of the joint.

  • Failed Previous Surgery: HTO may be considered when other surgical interventions, such as ligament reconstruction, have failed to provide adequate relief.

Benefits of High Tibial Osteotomies:

  • Joint Preservation: HTO helps to preserve the natural knee joint by delaying or preventing the need for more invasive procedures like total knee replacement.

  • Pain Relief: Patients often experience significant pain reduction and improved joint function following HTO.

  • Improved Mobility: HTO can enhance knee joint mobility, allowing patients to perform daily activities with greater ease.

  • Minimal Bone Removal: Unlike knee replacement surgery, HTO involves minimal removal of bone, which is an advantage for younger patients who may need further interventions in the future.

FAQs

At Aster Hospitals we provide the highest quality of care and a transformative experience for all your healthcare needs. With our network of multi-speciality hospitals, specialised doctors, and world-class technology, we bring global standards of medical care to our patients.

Is High Tibial Osteotomy suitable for all knee problems?

No, HTO is primarily indicated for specific conditions like osteoarthritis and varus alignment. It may not be suitable for other knee issues, such as advanced osteoarthritis or ligament tears.

Are there any risks associated with HTO?

Like any surgical procedure, HTO carries some risks, including infection, blood clots, and non-union of the bone. It's essential to discuss these risks with your surgeon.

How long does the effect of HTO last?

The duration of pain relief and improved function after HTO can vary. Some patients experience benefits for several years, while others may need additional interventions over time.

High Tibial Osteotomy is a valuable joint preservation technique that offers pain relief and improved joint function for patients with specific knee conditions. If you are experiencing knee pain or have been diagnosed with knee osteoarthritis, consult with an orthopedic surgeon to determine if HTO is a suitable option for you.

What is the recovery time after an HTO?

The recovery time can vary but typically involves several weeks of limited weight-bearing on the operated leg, followed by physical therapy. Full recovery may take several months.

Can HTO be performed on both knees simultaneously?

In some cases, surgeons may perform HTO on both knees simultaneously if both knees have similar issues and the patient is otherwise healthy. However, this decision is made on a case-by-case basis.

FAQs

At Aster Hospitals we provide the highest quality of care and a transformative experience for all your healthcare needs. With our network of multi-speciality hospitals, specialised doctors, and world-class technology, we bring global standards of medical care to our patients.

Is High Tibial Osteotomy suitable for all knee problems?

No, HTO is primarily indicated for specific conditions like osteoarthritis and varus alignment. It may not be suitable for other knee issues, such as advanced osteoarthritis or ligament tears.

Are there any risks associated with HTO?

Like any surgical procedure, HTO carries some risks, including infection, blood clots, and non-union of the bone. It's essential to discuss these risks with your surgeon.

How long does the effect of HTO last?

The duration of pain relief and improved function after HTO can vary. Some patients experience benefits for several years, while others may need additional interventions over time.

High Tibial Osteotomy is a valuable joint preservation technique that offers pain relief and improved joint function for patients with specific knee conditions. If you are experiencing knee pain or have been diagnosed with knee osteoarthritis, consult with an orthopedic surgeon to determine if HTO is a suitable option for you.

What is the recovery time after an HTO?

The recovery time can vary but typically involves several weeks of limited weight-bearing on the operated leg, followed by physical therapy. Full recovery may take several months.

Can HTO be performed on both knees simultaneously?

In some cases, surgeons may perform HTO on both knees simultaneously if both knees have similar issues and the patient is otherwise healthy. However, this decision is made on a case-by-case basis.

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