High Tibial Osteotomy (HTO) is a surgical procedure used to treat specific knee conditions, typically involving osteoarthritis and malalignment of the knee joint. During HTO, the orthopedic surgeon makes controlled cuts (osteotomies) in the upper part of the tibia (shinbone) to realign the knee joint. The goal of this procedure is to shift the weight-bearing load away from the damaged or arthritic portion of the knee to a healthier area, thus reducing pain and slowing the progression of arthritis. HTO is often considered for younger, active individuals who are not yet candidates for total knee replacement but have significant knee pain and malalignment issues. It aims to relieve pain, improve knee function, and potentially delay the need for more extensive surgeries like knee replacement.
PCL reconstruction is typically recommended for individuals who have experienced a complete tear of the PCL ligament, as well as for those who have a partial tear that causes significant instability or chronic pain in the knee. Indications for PCL reconstruction may include
It's essential for patients to have a thorough evaluation by a doctor to determine whether High Tibial Osteotomy is the most appropriate treatment option for their specific knee condition. The decision to undergo this procedure should consider various factors, including the extent of arthritis, knee alignment, overall health, and the patient's goals and expectations.
The High Tibial Osteotomy (HTO) procedure is a surgical intervention aimed at realigning the knee joint, particularly in cases of early to mid-stage medial compartment knee osteoarthritis and varus malalignment. During HTO, the orthopedic surgeon begins by making an incision on the side of the knee to access the tibia (shinbone). The surgeon then carefully cuts the upper part of the tibia, creating controlled osteotomies. This realignment typically shifts the weight-bearing load from the damaged or arthritic portion of the knee to a healthier area, relieving pain and slowing the progression of arthritis. The procedure can also involve the use of plates, screws, or other fixation devices to stabilize the realigned bone, enabling it to heal in the corrected position. Post-operatively, patients usually undergo a comprehensive rehabilitation program to aid in recovery, which may include physical therapy and activity modification.
HTO is a well-established option for individuals seeking pain relief and improved knee function, especially when they are not yet candidates for total knee replacement. However, the specific details of the procedure may vary based on the patient's condition, the surgeon's approach, and the type of fixation used. Patients considering HTO should consult with an orthopedic specialist for a comprehensive evaluation and to discuss the most appropriate treatment plan based on their unique needs and circumstances.
