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High Tibial Osteotomy

Brett Cascio, M.D.

High Tibial Osteotomy

What is High Tibial Osteotomy?

High tibial osteotomy is a procedure used to correct bow-leggedness by straightening the leg. This is accomplished by removing a wedge of bone from the tibia.

Who needs High Tibial Osteotomy?

This procedure is performed to correct bow-leggedness. If pain is present on one side of the knee after activity or standing for long periods of time, this procedure may prove to be beneficial.

What are the steps in High Tibial Osteotomy?

Exposure of the Tibia

The surgeon may move aside the fibula temporarily. This is done to expose the tibia so that the procedure may be performed.

Bone Wedge Removed

A small wedge of bone is removed from the tibia. In some cases, a section of the fibula may also be removed.

Attaching the Plate

The surgeon then attaches a small metal plate with surgical screws above the open gap.

Closing the Gap

The tibia is positioned to close the gap.

End of Procedure

The bottom of the metal plate is secured with surgical screws. This is done to keep the tibia in place during the healing process. The fibula is reattached, and incisions are closed.

After Surgery

After surgery, you can expect a hospital stay for 2 to 4 days, during which you'll be monitored and given pain medication. Crutches may be needed for several weeks after surgery, as well as the use of a cast or brace to keep the leg immobilized. Adherence to a physical therapy regimen will be necessary to ensure proper healing.

All information provided on this website is for information purposes only. Please see a healthcare professional for medical advice. If you are seeking this information in an emergency situation, please call 911 and seek emergency help.

All materials copyright © 2023, All Rights Reserved.

Dr. Cascio, medical director of Sports Medicine at Lake Charles Memorial Hospital, specializes in Orthopedics and Sports Medicine.



Brett Cascio M.D.


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