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Tibial Osteotomy (Knee Realignment)

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Accurate diagnosis and personalized care to relieve knee pain, restore mobility, and prevent future injuries.

Realignment

Tibial Osteotomy (Knee Realignment)

Tibial Osteotomy (Knee Realignment) is a specialized orthopedic procedure designed to correct knee alignment issues, relieve joint pain, and delay or prevent the progression of osteoarthritis. It involves surgically cutting and reshaping the tibia (shinbone) to redistribute weight across the knee joint, reducing stress on damaged cartilage. Under the expertise of Dr. Nithin Kumar Bejjanki, patients benefit from precise surgical planning, minimally invasive techniques, and personalized rehabilitation programs, enabling pain relief, improved mobility, and enhanced joint function.

Tibial Osteotomy is recommended for patients experiencing:

  • Medial or lateral knee pain due to misalignment

  • Early osteoarthritis affecting one side of the knee

  • Bow-legged (varus) or knock-kneed (valgus) deformities

  • Instability or uneven weight distribution in the knee

  • Limited mobility and difficulty performing daily activities

  • Persistent pain despite conservative treatments

The goal is to realign the knee, relieve stress on damaged cartilage, and preserve joint longevity.

Non-Surgical / Conservative Approaches:

  • Pain management with medications or injections

  • Physical therapy to strengthen muscles supporting the knee

  • Bracing and activity modification to reduce joint stress

  • Weight management to relieve pressure on the knee

Surgical / Advanced Interventions:

  • High Tibial Osteotomy (HTO): Corrects varus deformity

  • Distal Tibial Osteotomy (DTO): Corrects valgus deformity

  • Arthroscopic-assisted realignment: Minimally invasive techniques for precise correction

  • Combination with cartilage or ligament repair to optimize knee function

The procedure is personalized based on the severity of deformity, cartilage condition, patient age, and activity level.

  1. Preoperative Assessment: Clinical evaluation, X-rays, and CT scans to determine precise alignment

  2. Surgical Planning: Selection of osteotomy type and corrective angle

  3. Surgical Procedure: Bone is cut, realigned, and fixed with plates or screws

  4. Closure & Dressing: Incision closed, knee immobilized with a brace or bandage

  5. Postoperative Rehabilitation: Gradual weight-bearing, physiotherapy to restore strength, flexibility, and gait

  6. Follow-Up: Regular imaging and monitoring to ensure proper healing and alignment

Tibial osteotomy reduces pressure on affected knee compartments, improves function, and delays the need for total knee replacement.

Q1: How long is recovery after tibial osteotomy?
A: Partial weight-bearing usually begins 4–6 weeks, with full recovery in 3–6 months.

Q2: Will I regain normal knee function?
A: Most patients experience significant pain relief and improved mobility, especially with structured rehab.

Q3: Is the surgery painful?
A: Mild to moderate discomfort is expected and managed with medications and physiotherapy.

Q4: Can I return to sports?
A: Low-impact activities can resume after 3–6 months; high-impact sports may require caution.

Q5: Are there risks associated with the procedure?
A: Rare risks include infection, delayed bone healing, or hardware irritation, minimized with expert surgical technique.

Tibial Osteotomy (Knee Realignment) provides precise correction of knee alignment, pain relief, improved mobility, and long-term joint preservation.