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February 2019
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Posts Tagged ‘HTO’

High Tibial Osteotomy

High Tibial Osteotomy

A high tibial osteotomy (HTO) is a surgical procedure used to treat knee osteoarthritis.  During the surgery a wedge-shaped bone is removed from the lower-leg.  This changes the angle of the knee joint and relieves pain.

You will be treated with intravenous medications immediately following surgery.  This will help reduce the chance of getting an infection from the hospital, help reduce the risk of blood clots, and help with the pain.  Expect to be in the hospital up to one week on the high side.

Once you get home crutches, a cane, or a walker will be required for about one month.  You will be able to put some weight on your leg, but how much and when will be up to your doctor.  Physical therapy will also be prescribed and required.

Most HTO’s are successful.  Make sure to ask your doctor for a detailed recovery plan so you will know exactly how long you will be off your feet.    Patients who have a high tibial osteotomy will experience swelling for 3 to six months.

HIgh Tibial Osteotomy

HIgh Tibial Osteotomy

High Tibial Osteotomies (HTO) are surgical procedures used to treat unicompartmental osteoarthritis of the knee.

Osteonecrosis is one of those complications.  It is “bone death” caused by poor blood supply to the affected area.  Though osteonecrosis is mst common in the hip and shoulder, in high tibial osteotomies it usually presents in the bone fragment above the surgical site.

There aren’t any symptoms in the early stages of this condition.  But as it gets worse you may feel pain in the joint that increases over time, pain at rest, limited range of motion, and limping.

Bone grafts and joint replacement are the usual treatment options for osteonecrosis.

High Tibial Osteotomy

High Tibial Osteotomy

A high tibial osteotomy (HTO) is a surgical procedure often associated with osteoarthritis of the knee.

“Osteo” means bone.  “Otomy” means to cut.  So an osteotomy is a cutting of the bone.  Osteotomies are usually used to correct angulations of bones.  In the case of unicompartmental osteoarthritis, the surgery requires that a wedge of bone is removed from beneath the affected compartment.