What Are Knee Preservation Surgeries?
Knee preservation surgeries help protect your natural knee joint. Instead of replacing the knee, these surgeries aim to fix the problem and keep your own joint. For many people, this means less pain and better movement. High Tibial Osteotomy is one such knee preservation surgery. It is often used for knee osteoarthritis treatment. If you want to avoid a full knee replacement, these surgeries may be an option.
What Is High Tibial Osteotomy (HTO)?
High Tibial Osteotomy, or HTO, is a surgery that changes the alignment of your knee. Doctors use it to shift weight away from the damaged part of the knee. As a result, pain can decrease and movement can improve. HTO is a popular choice for people with early knee arthritis. It is also an alternative to knee replacement for some patients.
Symptoms and Conditions That May Require HTO
Some knee problems may make you a candidate for High Tibial Osteotomy. Common symptoms include:
Usually, HTO is used for people with knee osteoarthritis on the inner side of the knee. It may also help those with bowed legs or uneven knee wear.
Causes and Risk Factors Leading to Knee Problems
Many things can cause knee pain and damage. For example, aging is a common cause. Injuries, such as sports accidents, can also harm the knee. Being overweight puts extra stress on your knees. In addition, family history and certain jobs may increase your risk. According to the CDC, knee osteoarthritis is more common in older adults and those with past injuries.
How HTO Is Diagnosed and Who Is a Candidate
Doctors use several steps to decide if High Tibial Osteotomy is right for you. First, they will ask about your symptoms and medical history. Next, they will examine your knee and check your walking. X-rays or MRI scans help show the damage and alignment. You may be a good candidate if:
However, people with severe arthritis or very stiff knees may need other treatments.
The HTO Procedure: What to Expect
Before surgery, your doctor will explain the steps and answer your questions. During High Tibial Osteotomy, the surgeon makes a small cut in the upper shin bone. Then, they adjust the bone to change the knee’s alignment. Sometimes, a wedge of bone is added or removed. Metal plates or screws hold the bone in place while it heals. The surgery usually takes one to two hours. Most patients stay in the hospital for a day or two.
Recovery, Rehabilitation, and Expected Outcomes
After HTO, recovery takes time and effort. At first, you may use crutches or a walker. Physical therapy starts soon to help you regain strength and movement. Most people return to normal activities in three to six months. However, full healing can take up to a year. According to medical studies, over 80% of patients feel less pain and move better after High Tibial Osteotomy recovery. Still, results can vary based on age, health, and activity level.
Benefits and Potential Risks of HTO
High Tibial Osteotomy offers many benefits, such as:
However, every surgery has risks. Possible risks include infection, blood clots, or nerve injury. Sometimes, the bone may not heal as expected. In rare cases, a knee replacement may still be needed later. Your doctor will discuss these risks before surgery.
Lifestyle Tips and Prevention for Knee Health
Taking care of your knees can help prevent future problems. Here are some tips:
Additionally, see a doctor if you notice knee pain or swelling. Early treatment can prevent more damage.
Conclusion
High Tibial Osteotomy is a proven knee preservation surgery for many people with knee osteoarthritis. It can reduce pain, improve movement, and delay the need for knee replacement.
If you have knee pain, consult an orthopedic specialist, Dr. Manal Gore at Altiuz Multi-speciality Hospital, to find out if High Tibial Osteotomy is right for you.