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Returning you to recreational sport

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Getting you back on the pitch

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Beating knee pain

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Internationally trained surgeon

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Regaining your independence

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Full range of knee surgery, to suit you

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Andrew Lavender

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High Tibial Osteotomy (HTO)

High Tibial Osteotomy

Aim of Surgery

- 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

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 a 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

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

Consent
- 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

Discharge
- You will normally stay in hospital overnight

Walking
- 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


Rehabilitation

Physiotherapy
- 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

Stitches
- 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

Driving
- You are unable to drive for at least 6 weeks

Work
- 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

Kneeling
- This can be done when you feel comfortable

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

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


Follow up

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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