High Tibial Osteotomy
High Tibial Osteotomy Surgery
When the joint damage is beyond repair, knee replacement surgery can correct this condition. But in certain patients, a high tibial osteotomy can realign the knee to take pressure off the damaged side by wedging open the upper portion of the tibia to reconfigure the knee joint. Weightbearing is then shifted away from the damaged or worn tissue and onto the healthier tissue.
In certain patients, a high tibial osteotomy can realign the knee to take pressure off the damaged side.
Surgical Procedure
Anesthesia
General anesthesia is typically used during Anterior Cruciate Ligament reconstruction, so you’ll be unconscious during the procedure.
ACL reconstruction is usually done through small incisions — one to hold a thin, tube-like video camera, and others to allow surgical instruments access to the joint space.
Procedure
Your surgeon will remove your damaged ligament and replace it with a segment of tendon. This replacement tissue is called a graft and it comes from another part of your knee or a tendon from a deceased donor.
Your surgeon will drill sockets or tunnels into your thighbone and shinbone to accurately position the graft, which is then secured to your bones with screws or other devices. The graft will serve as scaffolding on which new ligament tissue can grow.
Results
Successful ACL reconstruction paired with focused rehabilitation can usually restore stability and function to your knee.
Within the first few weeks after surgery, you should strive to regain a range of motion equal to that of your opposite knee.
Recovery from Anterior Cruciate Ligament reconstruction generally takes about nine months.
Recovery
Once you recover from the anesthesia, you can go home the same day.
Before you go home, you’ll practise walking with crutches, and your surgeon may ask you to wear a knee brace or splint to help protect the graft.
Pain management
Your doctor will give you specific instructions on how to control swelling and pain after surgery. In general, it’s important to keep your leg elevated, apply a cold wrap or ice to your knee, and rest as much as possible.
Medications to help with pain relief include over-the-counter drugs such as acetaminophen, ibuprofen or naproxen sodium. Your doctor might prescribe stronger medications, such as meloxicam (Mobic), tramadol or oxycodone
Physical therapy
Progressive physical therapy after ACL surgery helps to strengthen the muscles around your knee and improve flexibility.
A physical therapist will teach you how to do exercises that you will perform either with continued supervision or at home.
Following the rehabilitation plan is important for proper healing and achieving the best possible outcomes.
Address
Clemenceau Medical Center Hospital, Dubai