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This procedure aligns the knee joint so the healthy part of the knee surface is able to do more weight-bearing. This takes pressure off the damaged part. Damage is often due to
osteoarthritis. This surgery may be done instead of a
total knee replacement. It may also be done to correct poor knee alignment for other reasons.
While osteotomy does not cure conditions like osteoarthritis, the surgery may:
Delay further damage to the joint
Postpone the need for total knee replacement surgery
There are many methods that can be used to perform an osteotomy. In one method, the doctor uses imaging technology to measure the piece of bone that will be removed. A cut is made in the skin from the knee cap to the top of the shinbone. Several thin wires are placed in the knee to serve as guides, showing where the bone should be cut. The doctor uses an oscillating saw to remove the bone wedge. The remaining parts of the bone will be held together with staples, screws, or a plate and screws. The doctor will stitch the tissue together and close the area.
Degenerative joint disease of the knee. EBSCO DynaMed website. Available at: ...(Click grey area to select URL) Updated May 3, 2013. Accessed May 6, 2013.
Frequently asked questions: high tibial osteotomy. New England Musculoskeletal Institute website. Available at: ...(Click grey area to select URL) Accessed May 6, 2013.
Knee osteotomy. The Knee Society website. Available at: ...(Click grey area to select URL) Accessed May 6, 2013.
Knee replacement surgery. Johns Hopkins Medicine website. Available at: ...(Click grey area to select URL) Accessed May 6, 2013.
Marti R, Verhagen R, Kerkhoffs G, Moojen T. Proximal tibial varus osteotomy.
J Bone Joint Surg Am. 2001;83-A(2):164-170
Wilson A. Knee osteotomy and painful osteoarthritis. Knee Guru Information Hub website. Available at: ...(Click grey area to select URL) Published May 13, 2010. Accessed May 6, 2013.
6/6/2011 DynaMed's Systematic Literature Surveillance
http:/www.ebscohost.com/dynamed: Mills E, Eyawo O, Lockhart I, Kelly S, Wu P, Ebbert JO. Smoking cessation reduces postoperative complications: a systematic review and meta-analysis.
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This content is reviewed regularly and is updated when new and relevant evidence is made available. This information is neither intended nor implied to be a substitute for professional medical advice. Always seek the advice of your physician or other qualified health provider prior to starting any new treatment or with questions regarding a medical condition.