BLOG: How High Tibial Osteotomy (HTO) Can Delay Knee Replacement

May 6, 2019
BLOG: How High Tibial Osteotomy (HTO) Can Delay Knee Replacement

Michael O'Malley, MD

By: Dr. Michael O’Malley


Knee osteotomy may be recommended if you have arthritic change in just one area of your knee secondary to underlying varus (bowleg) or valgus (knee-knock) malalignment. Osteotomy can be performed in combination with other types of knee surgery as well, such as cartilage restoration.

Depending on the type of malalignment that is present, this procedure shifts your body weight off the affected portion of the knee by either removing or adding a wedge of bone to your tibia (shin bone) or femur (thigh bone).

Osteotomy is considered in active patients younger than 60 years of age. This can delay the need for knee replacement for up to 10-15 years. This serves as a cartilage preservation technique in this patient population.
These are typically outpatient procedures, with a modified weight bearing status for just a short few weeks, followed by a progression of weight bearing as guided by our physical therapy team.

Following a full recovery, a return to baseline activity is achieved with minimal to no limitation.

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