High Tibial Osteotomy

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Topic Title: High Tibial Osteotomy
Created On: 01/24/2000 10:34 AM

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 04/28/2011 04:28 AM

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west3

Posts: 1


I am currently 23 years old and I have had 6 knee surgeries. I was 22 years old when I had my High tibial osteotomy.My intial injury I tore my ACL. MCL and Meniscus playing soccer. My first surgeon replaced my ACL but did not fix meniscus. He ended up putting my ACL to far forward, he didn’t listen to me for over a year and it caused severe damage to my meniscus. By the time I switched surgeons and they went in to fix the ACL they realized I lost 80% of my meniscus. I then got a meniscus transplant which worked for awhile but then I started to have meniscus pain. I had a Knee scope and cleaning that did not help my pain. After a few months my knee would give out and I would have stabbing pain on my medial meniscus. It got so bad I could no longer walk. That surgeon said he had come to the end of his specialty. I switched to UCSF and they found my meniscus was popping out and I was smashing it. My medial meniscus had always been a problem so they decided to do a High tibial osteotomy. I had that done on 12/28/09 and then had the plate removal done 12/29/10. The osteotomy was extremely painful and took me a long time to recover from. I was doing pretty well I had some foot problems until I had the hardware removed as soon as I came out I had foot pain and by the next day I could not move it without screaming out in pain. My foot now inverts so my doctor sent me to a podiatrist to make me an orthotic. But this has not worked when they corrected my foot problem it flared up my medial meniscus pain and now I have problems walking do to my knee and foot. My podiatrist has done many corrections and is now creating a new orthotic but is unsure she can correct the problem. My surgeon told me that she overcorrected my osteotomy on purpose to take as much pressure off my medial meniscus. But now I am left with hip, knee and foot problems. I am entering into a major strengthening program and I have done lots of therapy. They said maybe they can get me 20% better. My question is do I have an intolerable valgus alignment? I think they overcorrected too much and know it is putting too much pressure on my other joints. I am 23 years old and I have no quality of life. I am realist I know I won’t be pain free but I just want to be able to walk. Has anyone had problems with their osteotomy and can the redo the alignment? Any advice would help I feel lost I trust my surgeon she is really talented I just wish she had not overcorrected.
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 03/09/2006 06:02 PM

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Mattyx2

Posts: 3

I just passed my 7th week after my Right Knee Meniscus removal and HTO. So far everything seems to be going well. I have been no weight bear for the last six weeks, but just last week after my appointment, I was told the screws looked like they're holding well, therefore I was told that I could bear 50% weight on the leg. I have been going to PT 3 days a week and it is going to be a long process. Right now it is mostly just muscle stimulation and rangle of motion of the knee. As far as hospitilization, I went home after the surgery. Personally I wish I was able to stay in the hospital at least a day or two. I was lucky to have someone home with me. I would not have been able to get through the it all without her. I missed 2 1/2 weeks of work, and was told that I should have stayed home at least another week. Pain control is the key issue after the surgery. Make sure to keep up on the pain meds, there is no need to feel pain!!! I am an active person and the hardest thing is looking outside and not being able to do anything. I am hoping I will be able to get back to a normal routine when this is all done.If you need anymore questions answeres, feel free to email me. [email protected]
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 02/25/2006 09:14 PM

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soccermom21813

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You say you had hto in January, I am having it done on March 7th. I am wondering what you went through? How long did you spend in the hospital? How bad was the pain? I would love to hear from anyone who had the hto. I am a 41 year old female and am scared to death. Thank you so much! Feel free to email me at [email protected]
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 01/23/2006 05:15 PM

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Mattyx2

Posts: 3

I am 35 and just had a High Tibial Osteotomy 6 days ago. Once I was able to control the pain, I feel better. Now 8 months later, how is your knee feeling?Matt
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 05/05/2005 02:25 PM

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Vicki5581

Posts: 2

I am 24 years old and I am bowlegged due to rickets that I had as a child. This causes alot of pain on both knees. I just wanted to know if anyone has had a leg straightening surgery because I would like some info. I'm hoping that surgery will reduce my knee pain.
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 05/18/2003 07:22 PM

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rajath13933

Posts: 10

I mulled over the same questions before I got my tibial osteotomy in 2000. I went with the opening wedge method with internal fixator. I dont see any reason to suffer with an external fixator. I am very happy with my choice. I am back to 99%. The plate is still in place so I cannot kneel on it (feels wierd). That is the only downside. With the correction, the knee feels great. I can stand for hours without feeling it.
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 02/24/2001 10:20 PM

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dorothy

Posts: 2

I'm having an oseotomy next month and have to decide if I want an external fixator instead of the internal hardware ie..plate and screws.... would appreciate hearing from others that have been given this choice. I'm having trouble with the thought of having to turn bolts through my leg. My Dr. thinks I'll get over it once it's done.
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 02/16/2001 04:49 PM

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Steve10297

Posts: 6

I am 52 and I had the open wedge HTO on my very arthritically deformed right leg 10-00 with a bone bank graft. Didn't work and had a re-do 12-00 using a graft from my pelvis. I am very impatient and tried to bear weight after 6 weeks when union occurred but my leg was too weak. It is now 10 weeks and I can go with out crutches but I have pain/weakness in my ankle. No tenderness over the fracture but some where the plating is. Stationary bike causes no increase in symptoms and I think I will heal. Think I am expecting too much from the surgery. Before, I could play hockey and ski, but couldn't walk down 2 stairs. Hopefully, once the quad and calf muscles strenghten, I'll be able to do more. Not sure what I was thinking when I decided to have the surgery, but the doctor said I should be able to do all that I did before plus more. We'll see.....
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 01/18/2001 12:55 PM

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Sharon B.7403

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I (33 years old) wrote a little under three months ago and I went through with the surgery a maque (I learned how to spell it) tibial osteotomy 9 weeks ago. Things have been progressing well. As of 2 weeks ago the x-rays showed that I had not fused completely (est was 10-12 weeks) but I think that is changing because I know how my leg feels. I am down to a shorter knee immobilizer and started formal PT last week. I use one crutch when not in my immobilizer. My quads are completely gone but with losts of hard work they will return soon. So far so good and I think it was the right move to get me back to sports and away from a TKR (which is one of my next steps.) I hope the results continue in the right direction. This was my 10th surgery and probably the most time consuming rehab since my allograft 8 years ago. Good luck to all and if anyone has any questions I have already had 3-5 people send me e-mails, I have no problem answering them. Sharon B.
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 01/17/2001 11:04 PM

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susan9469

Posts: 2

I am 34 years of age, have degenerative joint disease on the medial side more, and am looking at the choices between a unicompartmental knee or a high tibial osteotomy. Would like feedback from anyone who has had experience with either one, and who could offer some advice. I have been told a total knee replacement is out of the question due to my age.
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 12/14/2000 12:10 AM

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gypsy

Posts: 11

Marc - I am very interested in hearing how your post -op period went and just how you are getting along now. I am set to undergo a HTO and am pretty nervous about it - do not kn0w anyone personally who has had this procedure. I live in Miami and will have the surgery here. Other options do not seem suited to my problem but i am trying to get an appt with a Doctor in Vail who is suppossedly the great knee guru. Would appreciate hearing from you Thanks so much.
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 11/02/2000 07:08 AM

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Sharon B.7403

Posts: 4

I was amazed to find this site and read all those who have responded. I am 33 years old and am scheduled for a Tibial Osteotomy (Macque (sp) procedure rather than the Fulkerson) in two weeks. This surgery makes #10 for me since my first scope at the age of 9. I have had two ACL reconstructions, Meniscus repairs, removal, and an allograft completed 8 years ago. The knee was doing as well as can be expected until it went out on me this summer first while playing soccer then while getting up from the dinner table. The Docs are hoping that this will postpone a TKR for at least 10-15 years (I am way to young.) I am hoping to be able to continue playing sports for those years. I am very active and plan on being for many years to come. Does any one know of another place I can get additional information on the procedure? I am planning on being out for two weeks before I resume driving, is this realistic? I wish you all luck.
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 10/24/2000 10:26 PM

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pj

Posts: 8

I am 50 and trying to decide whether to have the HTO in the new year. I am being fit with a Genesis II unloader brace and am anxious to see if that helps with the pain. Anyone with expierence with this apparatus please let me know about it. Thanks in advance. pj
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 09/27/2000 03:09 PM

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Ronald4963

Posts: 2

I just had Arthoscopy and high tibial Osteotonomy done on my right leg and knee on September 22, 2000. I was suffering from menial minicus pain in my right knee before the surgery. After 4 days, the knee pain is pretty much gone. I am very sore, but the heavy leg pain is gone. I will let everyone know of my progress as it happens. I talked with a person that had this procedure done in 1985. He had to go back in 5 years after the procedure because the alignment did not hold. At the time he had the procedure done, the plate and screws were not used. He had it redone with the plate and screws, and has been living pretty much pain free for 10 years. He is now in his 70 has just now had both knees replaced. He told me that if he had to have the HTO done again, he would't hesitate. If anyone needs more information, feel free to E-Mail me at [email protected]
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 09/13/2000 05:35 PM

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Goetz6497

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I am 32. 65 kgs, bow legged. HTO is recommended as a means of averting a total knee repl. 10 years down the line. Have had pain for the last 6 years. What worst case long term scenarios have been seen with this techniques? Thanks
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 08/12/2000 10:33 PM

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lois5448

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Hi Mark: I also have to have two tibial osteotomies and am looking at knee replacement in the next 15 years or so. I am also 37 years old. If you could give me any information on the osteotomy it would be appreciated. Thanks from Lois
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 07/31/2000 05:06 PM

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Rosanna5258

Posts: 2

Seven months ago I had an "Open-Wedge" Tibial Osteotomy and ACL reconsruction. I'm becoming very frustrated because I haven't been able to talk to anyone who has ever had both surgeries, or even the osteotomy. The doctor and physical therapists assure me I'm doing as well as can be expected but I'm not sure if this is true or not. I haven't gained back all my muscle on the surgery leg yet and doing leg extensions are extremely painful due to under the kneecap pain. My original problem is osteoarthritis and being bow-legged. The doctor straightened my leg by doing the osteotomy and now I have to have the other side done too. I would just like to hear from anyone else that has had this done and how they are doing.
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 07/23/2000 05:57 PM

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Dennis5131

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Had HTO done to my right knee on 7-10-00. Started PT on the 12th. Can bend the knee125 degrees and straighten to about -5 degress. Still have some pain, and I have been told to watch out for blood clots. I am taking blood thinners and have to wear stockings to prevent clots from forming in my legs. Dr. says to use the stockings for at least 4 more weeks. What a pain since it is over 100 degrees outside and I am stuck in the house most if the day. Dr. also says that I will be on cruthes for at least 6 more weeks. Hopefully I will be able to start driving this week. Would like to here from other people who have had this procedure done.
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 07/14/2000 02:20 PM

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Martha3573

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I too am glad to have found this site. I am 48 years old. I have been suffering from osteoarthritis since I was in my early 30's. I am extremely bowlegged. I have had 2 arthroscopes done. Both knees are affected. Last year, it got to the point of requiring knee joint injections. This does seem to eliviate the discomfort. However it only lasts for a month to 2 months. I am trying to decide whether to have my leg straightened or not. Reading your stories here is a great help. I don't know which would be worse...the surgery or the pain of bone on bone for 10 more yrs. I don't think they would hold up that long. If there are other bowlegged people out there, I'd love to hear from you. Martie Dunn
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 06/28/2000 12:30 PM

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sharon1224

Posts: 6

HI...my feedback on similar surgery and the results. I had a very complicated knee picture prior to surgery...lots of arthritis, valgus malalignment, failed ACL graft, absent medial meniscus, thrusting problem with walking. Rather than go the TRK route, I had an opening wedge osteotomy in 09/98 using the Pudda plate (new device) as the fixator, and an ACL revision surgery in 03/99. Along with revisional ACL using the hamstring (first one used patella tendon), I also had an abrasion arthroplasty. Going to have the right knee surgically fixed with the same surgery (opening wedge and ACL) n January 2001. The results for the left knee have been outstanding. I told my OS in February that I would go through surgery all over again to get to the point that I was then. Even now, 5 months later, the left knee is stronger. I have minimal pain and that pain is around the plate. However, I do not ski, run, or do any high impact aerobics. I do cycling, stretching/flexing, strengthening exercises. I find thetreadmill/stairstepper strenuous on the left knee because of the load on the medial side of the knee. My OS told me before surgery that the knee replacement would be the easier route to go but I was 47 at that time and I was too young for the TKR. I am otherwise in great health, in great physical shape and not overweight. So far, I cannot complain about the outcome, it was truly worth the post surgical pain and discomfort to get to this point. I actually found the opening wedge procedure easier except for the 6 weeks non-weightbearing and less painful than the ACL revisional surgery. The therapy was ok but I had to slow down on the therapy at the 9 week post-op point because of swelling. But other than that, I did fine. So I hope this feedback is encouraging. I again I am pleased with my results and hope the right knee does the same which I am sure it will. If you have any specific questions, email me.
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 06/24/2000 12:15 AM

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acorn

Posts: 24

JUST HAD A OSTEOTOMY OF THE TIBIA 5WKS. AAAGO JUST WONDERING WHAT YOUR RECOVERY TIME WAS MY DR. PRESS THE POINT NO WT. ON IT FOR 4 MORE WKS. LIKE TO HEAR FROM YOU
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 05/12/2000 10:40 AM

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maria2665

Posts: 2

i just found this site and what a blessing. i finally found some information on high tibial osteotomy and others who have had same. i fell at work feb '98 and injured my left knee. after failed arthroscopic surgery, i had the high tibial done. it was not fun, what with the pain- you know what i mean. i went to therapy 3x's a week for about 5-6 months-it was a long healing process. i was still left with some pain and my knee would still give out on me whenever it felt like it, so i used a cane. 11 months later, my knee went out one day and my right leg gave out also- due to the strain of bearing all the weight for a year. another failed arthroscopic surgery on my right knee and then in dec. 99 another high tibial on my right knee. oh i also forgot-they said that i needed new knees, but also said that i was too young- i was 48 when all this started. so more therapy and am left with pain and swelling on right knee also. and then.......from the extended use of the cane-now my hand has developed a trigger finger and compressed nerves in my elbow and a bad shoulder. went to the doctor and he gave me some cortisone in my finger joint and said when that fails to work anymore-surgery will fix my hand and elbow. its like a never ending cycle that justs keeps on going and going with no end in sight. VERY DEPRESSING!!! i am so tired of being in pain. sorry to give such a negative account, but i am only one story. will look for others. get back to me and let me know how you are doing.
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 01/24/2000 10:34 AM

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Marc649

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Underwent ACL replacement in 1983 using autograft (prepattelar tendon) in my left knee. At that time the surgeon salvaged as much of the medial meniscus as possible but for the past 17 years, with less than half the meniscus in tact, I have dealt with an increasing amount of pain/arthritic develoment due to the lack of soft tissue on the medial side of the joint. This past December, I underwent the second major procedure to correct the arthrtic wear in my knee. The surgeon performed a High Tibial Osteotomy (Closing Wedge.) He also used a heated probe to attempt and tighten up the ACL. (Rather than use an allograft to replace the original autograft.) I am very interested in getting some feedback from other readers that may have had this type of procedure. How are you doing 1, 5, 10 years post operative? I am 37 years of age, and my Doctor had indicated that at 37, a full knee replacement was out of the question as they do not last that long in younger patients. Based on current knee expertise, I am looking at a total knee replacement 15-20 years down the road.Very interested in any feed back!! Thanks, Marc Viselli
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