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High Tibial Osteotomy (HTO)

Joint-Preserving Surgery for Long-Term Knee Health

What is High Tibial Osteotomy (HTO)?

High Tibial Osteotomy (HTO) is a minimally invasive surgical procedure designed to relieve knee pain and improve function by realigning the tibia (shinbone). This procedure redistributes weight across the knee, reducing pressure on the damaged cartilage and helping delay or prevent the need for total knee replacement.

HTO is an excellent option for active individuals with early-stage knee arthritis or knee alignment issues like bow-legged (varus) or knock-kneed (valgus) deformities.

Who Needs High Tibial Osteotomy?

  • Unicompartmental Osteoarthritis
  • Chronic Knee Pain & Stiffness
  • Active Lifestyle with Early Arthritis
  • Cartilage or Meniscus Damage

Benefits of High Tibial Osteotomy

Joint Preservation Instead of Replacement
  • Unlike total knee replacement, HTO maintains the natural knee joint.
  • Helps delay or prevent the need for future joint replacement.
Improved Mobility & Pain Relief
  • Redistributes knee pressure, reducing pain and inflammation.
  • Enhances knee function and allows a more active lifestyle.
Faster Recovery & Long-Lasting Results
  • Shorter hospital stay and quicker rehabilitation.
  • Many patients experience long-term relief for 10+ years.
Minimally Invasive with Fewer Complications
  • Smaller incisions result in less pain, minimal scarring, and lower infection risk.
  • Preserves healthy bone and tissue, ensuring a more natural knee movement.
Ideal for Younger, Active Patients
  • Helps patients maintain sports and daily activities without major surgery.
  • Prevents further joint damage and enhances long-term knee health.
High Tibial Osteotomy Procedure – Step by Step
  • Preoperative Planning & Imaging: X-rays, CT scans, or MRIs determine the correction angle.
  • Bone Realignment (Osteotomy): A controlled cut is made in the tibia to shift weight distribution.
  • Fixation with Plate & Screws: A metal plate stabilizes the corrected position for healing.
  • Closing Incisions & Recovery: The knee is bandaged, and rehabilitation begins.
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