Find out why you might need high tibial osteotomy in our patient information sections below.
At Sussex Premier Health, you will have a formal consultation with your Consultant Orthopaedic Surgeon. During this time you will be able to explain your medical history symptoms and raise any concerns that you might have.
We will also discuss with you whether any further diagnostic tests such as scans or blood tests are needed. Any additional costs will be discussed before further tests are carried out.
On the day of your operation, our ward staff will show you to your own private room. Your private room will have an en-suite bathroom and TV and Wi-Fi facilities.
Under general anaesthetic, a 15 cm incision is made over the upper part of the tibia (shin bone). The bone is cut almost all the way across using X-rays to guide the cut.
The alignment of the tibia is then carefully adjusted by opening this cut in the bone until the desired alignment is reached. The bone is then fixed with a plate that is held in place with screws. This is called an opening wedge osteotomy.
The triangular gap in the bone will fill in with new bone over the next few months after surgery.
Most patients are ready to go home after 48 hours. The plate and screws are made of titanium and are very strong so you can partially bear weight on the operated leg with crutches.
Once you’re ready to be discharged from hospital, you’ll need to arrange for a friend or family member to take you home as you won’t be able to drive.
After six weeks, if the X-rays show the tibia is healing well you can progress to full weight bearing and dispense with your crutches as the discomfort settles.
Sometimes arthritis of the knee in a young or middle-aged patient is best treated by an operation that alters the way forces cross the knee, taking pressure off the damaged joint surface. Typically people have slightly bowed legs and get more wear of the articular cartilage on the inside of the knee.
Osteotomy means to surgically break the tibia under control. After the tibia is broken it can be realigned into a better position and allowed to heal. Once healed, the force of the body is transmitted mainly through undamaged cartilage, and patients will have less pain and swelling. For the operation to be effective the arthritis needs to be confined to one area of the knee only. The rest of the joint must be healthy.
Before suggesting an osteotomy, our orthopaedic consultants prefer to try and control your symptoms with physiotherapy, anti-inflammatory medication and, possibly, keyhole surgery. If these techniques are not successful then an osteotomy would be considered.
Osteotomy is usually not suitable for patients much over the age of 60.
Your surgery will be performed by your consultant surgeon.
Even after you’ve left hospital, we’re still here when you need us.
If you have any questions or concerns about your recovery you can call and speak to a member of the nursing team at any time, please call 01424 757459.