High Tibial Osteotomy

Osteotomy means cutting of the bone. High tibial osteotomy (HTO) is a surgical procedure aimed at correcting knee deformities caused by conditions like osteoarthritis or misalignment. In a knee osteotomy, the surgeon cuts and reshapes either the tibia (shinbone) or femur (thighbone). This procedure is particularly effective in redistributing weight from a damaged area of the knee joint to a healthier cartilage, alleviating pain and improving joint function.

A high tibial osteotomy is often recommended for various reasons, this includes correcting development bone misalignments that could cause issues in the future if left untreated. It helps to realign the bone with the joint and restore normal alignment. High tibial osteotomy is also used to treat cartilage damage, such as a single hole in the cartilage, or more widespread degenerative changes like osteoarthritis in a specific part of the knee. For individuals with knee instability or wobbliness, an osteotomy can be performed alongside other procedures, such as ligament reconstruction, to improve stability. Misalignments like knock knees or bowlegs, which can result from injury or disease, often cause abnormal weight distribution across the knee joint, leading to additional wear and tear. This malalignment increases stress on the joint, which worsens pain and can lead to further degeneration, making an osteotomy an important option to restore balance and alleviate symptoms.

High tibial osteotomy surgery involves making precise cuts in the tibia (shinbone) and realigning it to shift the load-bearing axis of the knee. By doing so, it reduces stress on the damaged portion of the knee and delays the progression of arthritis.

Ideal candidates for high tibial osteotomy are those who experience pain localized to one side of the knee, with no discomfort under the kneecap. The pain is usually triggered by activity or long periods of standing. A good candidate should be able to straighten the knee fully and bend it to at least 90° before surgery. However, those with rheumatoid arthritis are generally not suitable for knee osteotomy, as the condition may impact other areas of the joint or complicate healing. It’s essential to consult with your orthopedic surgeon to assess whether this surgery is right for you.

Candidates for high tibial osteotomy typically include individuals with early-stage knee osteoarthritis localized to one side of the joint, usually the medial (inner) side. These individuals often experience pain during activities like walking or climbing stairs but retain good range of motion and knee stability. The surgery is ideal for younger, active individuals under 60 who are not yet candidates for total knee replacement. People with a body mass index (BMI) within a healthy range and minimal or no significant ligament injuries are also suitable candidates. Your orthopedic surgeon will conduct imaging tests, such as X-rays or MRIs, and assess your symptoms to determine eligibility.

Candidates for high tibial osteotomy typically include individuals with early-stage knee osteoarthritis localized to one side of the joint, usually the medial (inner) side. These individuals often experience pain during activities like walking or climbing stairs but retain good range of motion and knee stability. The surgery is ideal for younger, active individuals under 60 who are not yet candidates for total knee replacement. People with a body mass index (BMI) within a healthy range and minimal or no significant ligament injuries are also suitable candidates. Your orthopedic surgeon will conduct imaging tests, such as X-rays or MRIs, and assess your symptoms to determine eligibility.

Following a high tibial osteotomy, recovery involves a structured approach focusing on protecting the surgical site and restoring mobility, strength, and function. The recovery process is focused on gradually relieving pressure from the damaged area. Patients are guided through a rehabilitation process, which varies based on healing and individual needs.

• Rehabilitation is a cornerstone of a successful recovery from knee osteotomy, promoting mobility, strength, and function.
• It’s vital to collaborate with your physician throughout the process to ensure your recovery plan is tailored to your specific needs.
• Immediate post-operative phase (0-6 weeks) protect the anatomic repair, focus on wound healing.
• For several weeks after surgery, reduced weight on the leg may be required to prevent stress on the knee.
• The rehabilitation process is both time- and criterion-based, taking into account tissue healing and your individual progress.
• Exercises that target your quadriceps, hamstrings, and calf muscles can improve stability and flexibility.

The immediate post-operative phase is critical for your recovery from a knee osteotomy. During this period, your main goals are to protect the surgical repair, manage swelling, restore quadriceps control, and improve range of motion. Adhering to a structured rehab program is key to achieving these goals.

• The recovery process is unique for each patient, and adhering to your surgeon’s tailored instructions is essential for healing. These guidelines will cover everything from pain management to activity restrictions and rehab exercises.
• Keeping the surgical incision clean and dry will help prevent infection. Follow the recommended dressing and wound care instructions provided by your surgeon.
• Ice can help control swelling and pain in the initial stages. Apply ice for 15-20 minutes multiple times a day, as advised by your healthcare provider
• To improve flexibility and avoid stiffness, perform exercises like ankle pumps, heel slides, and small knee bends under the guidance of your physical therapist.
• Avoid active knee extension and resist certain exercises for at least 6 weeks to allow for proper healing. Gradually progress from non-weight bearing to partial weight-bearing when your quadriceps control and knee extension are restored.
• As Prospero medical, we stay in regular contact with our patients for up to a year after their surgery, ensuring proper healing. Any post-surgery concerns should be addressed with our clinic before seeking help from any third-party providers.

Turkey is emerging as a leading destination for medical tourism, offering a range of treatments, including high tibial osteotomy surgery. With an excellent reputation for advanced medical care and a rich cultural backdrop, Turkey provides a unique combination of high-quality medical services and a memorable recovery experience. Here are the top reasons why you should consider Turkey for your high tibial osteotomy surgery:

• From initial recovery to physiotherapy, Turkish clinics provide full aftercare services to ensure optimal healing and mobility restoration.
• Many hospitals offer combined treatment and therapy packages, making recovery smoother and more efficient.
• Turkish hospitals utilize cutting-edge medical technology and equipment, ensuring the highest standard of care.
• Turkish hospitals maintain international accreditation, ensuring that patients receive high-standard care according to global guidelines.
• With a blend of modern amenities and ancient history, Turkey offers a unique recovery experience that combines healing with cultural exploration.
• Many clinics offer packages that include physiotherapy, helping patients recover faster and regain full mobility.

Before deciding where to have your high tibial osteotomy, a number of critical factors must be considered. With the influx of marketing campaigns and social media promotions, it can be overwhelming to select the right clinic. So, how can you ensure you’re choosing the best one for your needs?

Here are the primary factors that will guide your decision:

• The clinic’s objective should provide honest medical advice free from commercial biases.
• A clinic that has a strong relationship with their patients, ensuring their concerns are well understood and their expectations are managed.
• Ensure the clinic’s top priority is patient’s safety.

To properly estimate treatment costs, take into account:

• The professional standing of the clinic.
• The complexity of the procedure, the surgeon’s credentials, and the quality of aftercare services provided.
• Clear and fair terms of service that protect both the patient and the clinic.

The cost of high tibial osteotomy can vary based on the factors above. While pricing is a driving factor for many patients traveling abroad, it’s crucial not to compromise on quality for lower costs. At Prospero medical, we are committed to transparent pricing, where all services are broken down to help patients make informed decisions. Our pricing is designed to reflect the quality of care, the expertise of our surgeons, and the comprehensive aftercare services that ensure long-term recovery.