Knee

HTO (High Tibial Osteotomy)

High tibial osteotomy (HTO) is a surgical procedure commonly performed to address knee joint instability and correct alignment issues, particularly in cases of early-stage osteoarthritis or certain ligamentous injuries. This procedure becomes necessary when the alignment of the knee joint is abnormal, leading to uneven distribution of weight and increased stress on specific areas of the joint.

Key things to know before the surgery

Before undergoing HTO surgery, individuals should consider several key factors to make informed decisions. A comprehensive evaluation by an orthopedic surgeon is essential to determine the necessity of the procedure, typically indicated for conditions such as early-stage osteoarthritis or ligamentous instability. Understanding the nature of the knee issue, the surgical procedure, and potential alternatives is crucial. Patients should discuss with the surgeon the expected outcomes, potential risks, and the postoperative recovery process, including rehabilitation. Realistic expectations regarding the recovery timeline and the commitment required for postoperative care are vital. While HTO offers benefits in correcting alignment and reducing pain, individuals should actively participate in decision-making, maintain clear communication with the healthcare team, and gain a comprehensive understanding of the procedure and its implications for a successful outcome.

Surgery Overview

HTO surgery is a meticulous procedure aimed at correcting alignment issues in the knee joint. During the procedure, the surgeon makes an incision near the knee and carefully cuts the tibia bone, realigning it to reduce stress on the damaged or arthritic area of the joint. This process aims to shift the weight-bearing load to healthier areas of the knee, relieving pain and slowing the progression of osteoarthritis. The surgeon may use specialized hardware, such as plates or screws, to stabilize the bone in its new position. The success of HTO depends on factors such as the severity of the knee misalignment, the effectiveness of the surgical technique, and the patient's adherence to postoperative rehabilitation.

After Surgery

After undergoing HTO surgery, postoperative care is crucial for a successful outcome. Patients should diligently follow the surgeon's instructions, including prescribed medications, wound care, and scheduled follow-up appointments. Managing postoperative pain and swelling may involve medication and the use of ice packs. Adherence to the prescribed rehabilitation program is essential, involving a gradual progression of exercises to regain strength, flexibility, and function in the knee. Physical therapy plays a central role in guiding patients through the recovery process. Regular monitoring for signs of complications, such as infection or delayed healing, is important, and any concerns should be promptly communicated to the healthcare provider. Successful recovery after HTO surgery requires active participation in postoperative care, patience, and clear communication with the healthcare team to address any questions or concerns throughout the healing process.