Corrective osteotomies and joint preservation
Correction of lower-limb malalignment to unload the damaged compartment and keep the patient's own knee.
- What it is
- When the leg is bowed inward or outward (varus or valgus), load concentrates on one side of the knee and accelerates cartilage and meniscal wear. An osteotomy corrects the axis to distribute load better and protect the joint.
- When it is indicated
- It is indicated in active patients with single-compartment wear or injury and malalignment, and as a complement to meniscal, ligament or cartilage surgery when the axis would compromise the result. It is an option to delay or avoid a knee replacement.
- How it is performed
- A controlled cut is made in the tibia or femur and the alignment planned on imaging is corrected and fixed with a plate. It is often combined in the same surgery with arthroscopic meniscal, ligament or cartilage procedures.
- Recovery
- Protected weight bearing with crutches during the first weeks while the bone heals, with motion from the start. Return to full activity takes several months.
- Procedures the doctor performs
- High tibial osteotomy
- Distal femoral osteotomy
- Management of lower-limb malalignment
- Knee joint preservation surgery
- Combined meniscus, ligament, cartilage and axis-correction procedures
Other procedures
- Anterior cruciate ligament (ACL)
- Meniscal injuries
- Posterior cruciate ligament and multiligament injuries
- Patellar dislocation and instability
- Cartilage and osteochondral injuries
- Knee arthroscopy and stiffness
- Knee replacement
This content is general information. It does not replace a medical assessment: every case is evaluated in consultation with physical examination and imaging.