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The Joint Clinic

High Tibial Osteotomy (HTO)

About High Tibial Osteotomy (HTO)

High Tibial Osteotomy (HTO) : This is a joint conserving surgery for young and active people with unicompartmental knee osteoarthritis (affecting only one compartment or half the joint) with varus deformity or bowed legs, who cannot comply with the restrictions of a knee replacement. Here, the bowed leg is straightened after making a cut in the shin bone (tibia) near the knee, and fixed by plate and screws. This surgery can give significant pain relief and allows unrestricted activity afterwards.

(High tibial osteotomy diagram)

Knee Treatments

Knee Arthroscopy

Knee Arthroscopy: Arthroscopy, or Minimally Invasive “keyhole” surgery, allows the surgeon to look into the knee joint

Anterior Cruciate Ligament (ACL) Reconstruction

Anterior Cruciate Ligament (ACL) is an important ligament which holds together the thigh bone

Posterior Cruciate Ligament (PCL) Reconstruction

Similar to ACL, the PCL is a strong and important ligament holding the bones in the knee together. 

Meniscus Surgery

Meniscus is a special cartilage cushion, present only in the knee, which helps in uniform load distribution in the joint. This can tear during any minor or major twisting injury to the knee

Articular Cartilage Repair

Articular cartilage is the smooth slippery layer covering the portion of bones inside the joint. Localised defects of this cartilage can be repaired by arthroscopic techniques

Medial & Lateral Ligament Reconstruction

Peripheral ligaments of the knee are often damaged either singly, or in combination with other ligaments during knee injuries.

Arthroscopic Arthrolysis

Stiffness or restricted movements in the knee can occur after injury, after surgery, or due to arthritis or congenital conditions. 

Multi Ligament Reconstruction

Multiple ligaments of the knee are damaged in cases of knee dislocation. The ACL, PCL, MCL, and PLC are the four main ligamentous structures

Dislocating Patella (Knee-cap) Surgery

The Knee-cap (Patella) can dislocate during an injury, particularly in children and adolescents. In 50% of cases

High Tibial Osteotomy (HTO)

High Tibial Osteotomy (HTO) : This is a joint conserving surgery for young and active people with unicompartmental knee osteoarthritis

Unicompartmental Knee Replacement

Older and less active patients who have severe unicompartmental knee osteoarthritis (affecting only one compartment or half the joint)

Total Knee Replacement

Rough and damaged cartilage surfaces in cases of knee arthritis are replaced with smooth artificial components, while most of the original knee ligaments are left intact.

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Your personal case manager will ensure that you receive the best possible care.

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