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High tibial osteotomy is a surgical procedure to realign the leg and reduce the pain you have from your knee by transferring the body weight to the preserved normal outer side of the knee.

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The surgical technique involves making an incision over the tibia, approximately 1 cm distal to the joint line. A wedge of bone is removed, based on the surgeon’s calculations, to allow the angle of the knee to be adjusted.

The space created in the tibia is filled with a bone graft and a metal plate and screws are used to hold the tibia in position while it heals and in a realigned mechanical axis so that there is less pressure/body weight going through the worn area of the knee.

  • Realignment of lower limb
  • Improved function / mobility
  • Reduced pain
  • Delay the need for unicompartmental knee replacement
  • Infection
  • Bleeding
  • Nerve damage
  • Deep vein thrombosis
  • Pulmonary embolism
  • Persistent / Recurrent pain
  • Fracture through proximal fragment
  • Osteonecrosis of proximal fragment
  • Non union of graft/delayed union
  • Altered sensation over surgical site
  • Compartment syndrome

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