Understanding the High Tibial Osteotomy (HTO): Restoring Function and Stability
When it comes to orthopedic surgery, various procedures exist to address joint issues and restore optimal function and stability. One such procedure gaining attention is the High Tibial Osteotomy (HTO). This surgical technique has emerged as an effective intervention for certain knee conditions, particularly in younger or active patients who wish to avoid or delay knee replacement surgery.
Let's dive deeper into what the High Tibial Osteotomy (HTO) entails and how it can benefit.
When it comes to orthopedic surgery, various procedures exist to address joint issues and restore optimal function and stability. One such procedure gaining attention is the High Tibial Osteotomy (HTO). This surgical technique has emerged as an effective intervention for certain knee conditions, particularly in younger or active patients who wish to avoid or delay knee replacement surgery.
What is HT Osteotomy?
High Tibial Osteotomy (HTO) is a surgical procedure primarily performed to realign the bones in the knee joint. The goal is to shift the weight-bearing load away from the damaged part of the knee to a healthier area. This is typically done by cutting and repositioning the upper part of the tibia (shinbone), depending on the specific condition being addressed.
Indications for HT Osteotomy
High Tibial Osteotomy (HTO) is commonly recommended for individuals with knee osteoarthritis, especially when the damage is localized to one side of the knee (unicompartmental osteoarthritis). It is also considered for those with certain knee deformities or alignment issues that contribute to excessive strain on specific areas of the joint. Candidates for High Tibial Osteotomy (HTO) are typically younger patients who are physically active and not suitable candidates for knee replacement surgery due to their age or lifestyle.
Procedure Overview
During a High Tibial Osteotomy (HTO), the orthopedic surgeon carefully plans the procedure based on imaging studies (such as X-rays, Scanogram) to determine the precise location and extent of bone realignment needed. The surgery is performed under general or regional anesthesia and involves making precise cuts in the bone. The bone is then reshaped or repositioned to restore a more optimal alignment of the knee joint. Metal hardware, such as plates and screws, may be used to stabilize the bone during healing.
Benefits of High Tibial Osteotomy (HTO)
RNH Hospital is one of the best hospitals in central India, where expert treatment is available for High Tibial Osteotomy (HTO).
The team of Dr. Dilip Rathi and Dr. Mukesh Laddha are renowned Orthopedic surgeons who have successfully performed several High Tibial Osteotomy (HTO) procedures at the hospital.
As per them, the main benefit of High Tibial Osteotomy (HTO) is its ability to relieve pain and delay the progression of knee osteoarthritis, particularly in younger patients. By redistributing the weight-bearing load across the knee joint more evenly, this procedure can significantly reduce pain and improve function. It also offers the potential for delaying or avoiding the need for more invasive procedures like total knee replacement in younger patients.
Recovery and Rehabilitation
Recovery from High Tibial Osteotomy (HTO) involves a period of immobilization followed by a structured rehabilitation program at RNH Hospital. Patients start full weight-bearing walking with the help of a walker from the next day of the procedure.
Physiotherapy is crucial to regain strength, flexibility, and range of motion in the knee joint. To get a full recovery patients are advised to follow their surgeon’s instructions diligently for the best outcome.
Conclusion
In summary, High Tibial Osteotomy (HTO) is a valuable surgical option for certain patients with knee osteoarthritis or deformities, aiming to restore function and delay the need for more invasive procedures like knee replacement surgery. While it requires careful patient selection and adherence to post-operative rehabilitation, High Tibial Osteotomy (HTO) can offer significant pain relief and improved quality of life for individuals dealing with specific knee conditions.
As with any surgical procedure, it’s essential to consult with an orthopedic specialist to determine the most appropriate treatment plan.