High Tibial Osteotomy to Treat Osteoarthritis of the Knee

A High Tibial Osteotomy is a descriptive term usedstiffness and swelling.
to describe an operation used to treat osteoarthritisA high tibial osteotomy looks to realign the knee to
of the knee. An osteotomy is the act of cutting aevenly share weight between both the inside and
bone. 'High Tibial' details the location of this cut, theoutside of the knee. This is achieved by cutting the
upper portion of the tibia or shin bone that forms thebone then either taking a wedge of bone out, or
bottom half of the knee joint.adding a wedge of bone in.
A high tibial osteotomy is used to treatThis type of surgery has a long recovery period as
unicompartmental osteoarthritis of the knee. Thisthe cut essentially fractures the main weight bearing
means that the arthritic wear is confined to one halfbone of the lower leg. Even after surgically fixing the
of the knee - either the inside, or outside of thebone in its new position, it is unable to take any
joint. When arthritis wears down one side of theweight for a significant period of time. This has a
articular cartilage covering the ends of the bones,major implication for work, lifestyle and everyday
angulation occurs. This results in a disproportionateactivities.
amount of body weight being taken through theThis operation is not suitable for everyone but can
worn side. This in turn leads to an increased rate ofbe a valuable tool for those too young for a total
wear and an acceleration of symptoms such as pain,knee replacement.