Dr. Ravi Teja Rudraraju

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High Tibial Osteotomy

High Tibial Osteotomy

High tibial osteotomy is a surgical procedure aimed at alleviating pressure on a damaged area of the knee joint affected by arthritis. It is typically recommended for patients with arthritis localized to one side of the knee, with the goal of shifting pressure away from the damaged area to healthier cartilage.

At drraviteja.com, we specialize in high tibial osteotomy to address various knee conditions such as osteoarthritis, gonarthrosis with malalignment, osteochondritis dissecans, osteonecrosis, posterolateral instability, and chondral resurfacing.

Procedure

The primary objective of the surgery is to correct the alignment of the tibia, thereby relieving pressure on the affected joint compartment and maintaining the joint line perpendicular to the leg’s mechanical axis. There are two main techniques employed: closing wedge osteotomy and opening wedge osteotomy, chosen based on individual patient requirements.

Closing wedge osteotomy

This technique involves making an incision in front of the knee and removing a small wedge of bone from the upper part of the tibia. The bones are then brought together, and the gap left by the removed bone is filled. Plates and screws are used to stabilize the bones during the healing process. This procedure redistributes weight away from the damaged joint area, easing discomfort.

Opening wedge osteotomy

In this approach, an incision is made below the knee cap, and a wedge-shaped cut is created in the bone. Bone graft material is inserted into the wedge-shaped opening, and additional support may be provided with plates and screws. This realignment of the knee reduces painful symptoms by altering the angle of the joint.

Complications

While high tibial osteotomy is generally safe, complications can occur, including infection, skin necrosis, non-union, nerve or blood vessel injury, failure to correct deformity, compartment syndrome, and deep vein thrombosis. Our team prioritizes patient safety and takes measures to minimize these risks.

At drraviteja.com, we offer high-quality care and personalized treatment plans for patients undergoing high tibial osteotomy. Contact us today to learn more about our services and schedule a consultation.

Are you experiencing High Tibial Osteotomy?

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