OSTEOTOMIES

HIGH TIBIAL OSTEOTOMY (HTO)
TIBIAL TUBERCLE OSTEOTOMY (TTO)
DISTAL FEMORAL OSTEOTOMY (DFO)
REHABILITATION PROTOCOLS

HIGH TIBIAL OSTEOTOMY (HTO)

ABOUT

A High Tibial Osteotomy is a surgical procedure used to treat isolated medial compartment osteoarthritis in patients who have Varus malalignment (bow-legged).

 

WHO IS A CANDIDATE FOR A HIGH TIBIAL OSTEOTOMY?

High tibial osteotomies are used to treat patients who have only one area of damage within their joint who are also bow-legged. A high tibial osteotomy can be used alone as treatment for medial compartment osteoarthritis or to correct alignment in conjunction with a cartilage repair procedure. In order to determine if a high tibial osteotomy is an appropriate procedure for you, your surgeon will obtain a few different imaging studies. These studies will include regular x-rays, bone length films to determine your alignment, and possibly an MRI. Using these studies your surgeon will be able to calculate the angle he will need to use in order to correct your malalignment. High tibial osteotomies are most commonly used to treat arthritis in active patients who are still too young to have a joint replacement or whose activity level is such that they would damage or wear out an artificial joint prematurely. Our average patients who undergo high tibial osteotomies are ages 40-55 with isolated medial compartment osteoarthritis.

TIBIAL TUBERCLE OSTEOTOMY (TTO)

ABOUT

A Tibial Tubercle Osteotomy is a surgical procedure used to treat patella maltracking with or without cartilage defects.

WHO IS A CANDIDATE FOR A TIBIAL TUBERCLE OSTEOTOMY?

Tibial tubercle osteotomies are used to treat patients who suffer from painful patellar maltracking. These patients may have had issues with patellar (knee cap) dislocations in the past. Often patients who suffer from patellar maltracking have chronic anterior knee pain. This is often felt as pain with going up and down stairs and or sitting for prolonged periods of time. Tibial tubercle osteotomies are only effective in patients who do not yet have bone on bone osteoarthritis between their patella and femur (patellofemoral joint). Tibial tubercle osteotomies can be performed in conjunction with MACI as an effort to treat both maltracking and cartilage damage caused by it.

 

DISTAL FEMORAL OSTEOTOMY (DFO)

ABOUT

A Distal Femoral Varus Osteotomy is a surgical procedure used in patients who have valgus malalignment (knock-kneed) to make their leg straight in order to unload a cartilage defect when it is repaired or to treat isolated lateral compartment osteoarthritis

WHO IS A CANDIDATE FOR A DISTAL FEMORAL OSTEOTOMY?

A distal femoral varus osteotomy can be used alone as treatment for lateral compartment osteoarthritis or to correct alignment in conjunction with a cartilage repair procedure. In order to determine if a distal femoral varus osteotomy is an appropriate procedure for you, your surgeon will obtain a few different imaging studies. These studies will include regular x-rays, bone length films to determine your alignment, and possibly an MRI. Using these studies your surgeon will be able to calculate the angle he will need to use in order to correct your malalignment. Distal femoral varus osteotomies are most commonly used to treat arthritis in active patients who are still too young to have a joint replacement or whose activity level is such that they would damage or wear out an artificial joint prematurely. Distal femoral osteotomies are also used in conjunction with MACI for the management of isolated chondral defects in the lateral compartment in the setting of valgus malalignment

 

REHABILITATION PROTOCOLS

WK 0-6

High Tibial Osteotomy (HTO)

WK 7-12

Tibial Tubercle Osteotomy (TTO)

Distal Femoral Osteotomy (DFO)

 

Paley Orthopedic & Spine Institute, 901 45th Street, Kimmel Building,  West Palm Beach, FL 33407   561-844-5255