High Tibial Osteotomy


Aim of Surgery

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– This is done to remove the pain caused by the arthritis on the inside of the knee (Medial Osteoarthritis) in young, fit and active people
– The leg is broken in a controlled way and fixed immediately, so moving where the weight passes through the knee to the normal outside (Lateral side)
– The aim is to put off for as many years as possible when you will need a Total Knee Replacement (TKR)
– This is a big operation as it is the equal of suffering a broken leg
– It usually takes 3 months to get over the operation, but can take longer to feel the full benefits
– Recovery is delayed if you smoke

Before Surgery

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Pre-Operative Assessment of fitness for surgery:
– This is usually undertaken by one of the nurses at the hospital to make sure that you are fit enough for the operation
– You will usually have blood tests and may also have tracing of your heart (ECG) or a chest X-ray

Hormone Replacement Therapy (HRT):
– This does not require stopping prior to surgery, but please tell us when you are admitted to ensure that we give you injections to help prevent you getting a blood clot in your leg

In Hospital

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Scratches / Cuts
– If you have any scratches, cuts or the like on your leg when you are admitted for surgery then your operation may be postponed if Mr Lavender believes that these will pose a risk to you getting an infection at the time of your surgery

– Mr Lavender will come and see you when you arrive. He will get you to sign a form (Consent Form) agreeing to the operation and explain the risks of the surgery

– You will normally stay in hospital overnight

– You can walk with all your weight on the operated leg as soon as the anaesthetic wears off, but most patients are
unable to manage this
– You will have a pair of crutches to help you walk. You can stop using them when you feel able



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– There will be lots of this after your operation to keep your knee moving through a full range of movement
– Keeping the ability to get your knee straight is very important

– Mr Lavender usually uses clips. These do not hurt when being removed. They are usually removed after 2 weeks when you come to see Mr Lavender in the out patients department

– You are unable to drive for at least 6 weeks

– This depends upon the type of work you do and should be discussed with Mr Lavender. As a rough guide:
– Sedentary work (2 weeks)
– Light work (6 weeks)
– Heavy work (12 weeks)

Sick note
– Mr Lavender will provide you with a sick note if you require one

– This can be done when you feel comfortable

– You are not allowed to fly for 6 weeks following your surgery, due to the risk of blood clots in your legs

– Your return depends upon the type of sport and should be discussed with Mr Lavender

Follow up

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Mr Lavender will normally see you at:
– 2 weeks – Remove clips
– 6 weeks – Ensure your knee goes straight
– 12 weeks – X-Ray
– 12 months – Ensure full healing with another X-Ray
– 24 months – Plan for removal of the plate in your leg



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Spire Hospital

170 Barlow Moor Road


M20 2AF

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