High Tibial Osteotomy (HTO)

In young patients where knee replacement may not be ideal and in patients who are physically very active and require to kneel for their work a high tibial osteotomy may be indicated.

Depending on the deformity of the leg being either knock kneed or bowlegged the bony cut (osteotomy) is done at the distal femur bone or the proximal tibia bone.

The principle of the operation is to realign the weight bearing axes of the leg in such a way that it is re-routed from running through the damaged part of the knee to the better quality of articular cartilage on the other relatively normal side of the knee joint.