High Tibial Osteotomy

What is the procedure known as a tibial osteotomy?

Osteotomy refers to the cutting of the bone. The procedure involves the shinbone, called the tibia, being cut and reshaped to help relieve pressure on one compartment of the knee joint. With high tibial osteotomy, the surgeon will cut the tibia just below the knee joint. The angle of the tibia will be adjusted slightly to help realign the leg and transfer the body weight to the unaffected parts of the knee.

When is a high tibial osteotomy indicated?

An osteotomy is normally indicated as a treatment option when alternative options such as anti-inflammatory medication and physiotherapy have not resolved symptoms. A high tibial osteotomy is normally performed when you are experiencing localised osteoarthritis of the knee and mal-alignment. High tibial osteotomy is a better option for younger patients who are under 50 years of age and those who are active, especially if you have a profession that will require you to engage in heavy lifting.

How does Dr van Niekerk perform the procedure?

During the procedure, Dr van Niekerk may use either general or spinal anaesthesia. You will lie on your back with a tourniquet applied to help restrict blood flow to the leg that is being operated on. Small incisions will be made on the shin. An arthroscope and surgical tools will be passed through the incisions. The surgeon will cut the bone and reshape and realign it. The bone will then be held in its new place using a plate and screws.

What is recovery like?

After the procedure, you may go home after two days following the procedure. You may partially bear weight for at least six weeks with the use of crutches. Physical therapy will be recommended to help regain the strength and function of the knee.