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Rehabilitation of High Tibial Osteotomy (HTO)

Step-by-Step Recovery Plan for Strength & Mobility

Rehabilitation of High Tibial Osteotomy (HTO)

High Tibial Osteotomy (HTO) is a joint-preserving surgery that realigns the knee to reduce pressure on damaged areas. Proper rehabilitation is crucial to regain strength, mobility, and ensure the success of the procedure.

Goals of RehabilitationGoals of Rehabilitation

  • Promote proper bone healing
  • Restore knee strength and stability
  • Improve mobility and function
  • Prevent stiffness and complications

Rehabilitation Timeline & Key Exercises

Phase 1: Early Post-Surgery (Weeks 0-2) – Healing & Protection
  • Rest & Elevation: Keep the operated leg elevated to minimize swelling.
  • Pain Management: Use prescribed painkillers and ice therapy.
  • Non-Weight Bearing: Use crutches or a walker to avoid putting weight on the knee.
  • Gentle Range-of-Motion (ROM) Exercises: Ankle pumps – Helps with blood circulation. Quad sets – Tighten thigh muscles without bending the knee. Bracing & Support: Wear a knee brace for stability.
Phase 2: Weeks 3-6 – Gradual Mobility & Strengthening
  • Weight-Bearing Progression: Start partial weight-bearing with crutches as per your doctor’s guidance.
  • Knee Flexion & Extension Exercises: Heel slides – Helps regain knee bending motion. Straight leg raises – Strengthens quadriceps muscles. Strengthening Exercises: Seated knee extensions – Improves joint mobility. Gentle resistance exercises using bands.
Phase 3: Weeks 6-12 – Full Weight-Bearing & Strength Recovery
  • Walking Without Crutches: Gradually increase weight-bearing under supervision.
  • Balance & Coordination Training: Single-leg stance (with support) – Improves knee control. Step-ups on a low platform – Builds strength. Advanced Strengthening: Leg press (light resistance) – Strengthens thigh muscles. Stationary cycling – Enhances flexibility and endurance.
Phase 4: 3-6 Months – Return to Normal Activities
  • Low-Impact Exercises: Swimming, cycling, and elliptical workouts to build stamina. Squats and lunges (as advised by a physiotherapist). Full Range of Motion Restoration: Stretching and flexibility exercises to prevent stiffness. Gradual Return to Work & Sports: Light activities (e.g., walking long distances) – After 3 months. Non-impact sports (e.g., cycling) – After 4-5 months. High-impact sports (e.g., running) – Only after full recovery (6-12 months).
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