High Tibial Osteotomy Surgery In India At Affordable Low Cost

High Tibial Osteotomy Surgery in India

Osteoarthritis of the Knee

A normal knee glides smoothly because articular cartilage covers the ends of the bones that form joints. Osteoarthritis damages the cartilage, progressively wearing it away. The ends of the bones become rough like pieces of sandpaper. Damaged cartilage can cause the joint to "stick" or lock, and the knee may become painful and stiff and lose range of motion.....

High Tibial Osteotomy

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.

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....

What happens at surgery?

Under general anaesthetic, a 10 cm incision is made over the upper part of the tibia (shin bone). The bone is cut almost all the way across, and the alignment of the tibia is carefully adjusted until the desired angle is reached. The bone is then fixed with a plate that is held in place with screws....

After the operation

Most patients are ready to go home after 48 hours. You will need to wear a knee brace for at least six weeks. This allows up to 90 degrees of bend but prevents inadvertent sideways bending. You will need to very lightly bear weight on the operated leg for the first few weeks and so crutches will be necessary....

Long term outlookm

This operation is designed to improve the symptoms of knee arthritis but it cannot cure the disease. It will eventually get worse and further surgery will almost certainly be necessary.

Studies have shown that osteotomy can delay the need for a knee replacement for up to 10 years and this is often enough to keep the knee comfortable until, for example, the patient retires from work. The advantage over a knee replacement in the younger patient is that it does not involve placing an implant into the knee itself, and once it has healed, you can lead a busy, vigorous life, even returning to sport in some cases.

For the patient in their late fifties or early sixties, however, a unicompartmental knee replacement may be a better alternative....

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