High TibialOsteotomy (HTO)
Advanced joint preservation surgery to correct bow-legged alignment and shift weight away from damaged bone.
High Tibial Osteotomy (HTO)
High Tibial Osteotomy (HTO) is a sophisticated joint preservation procedure designed for active individuals with medial-sided knee arthritis. For patients who are 'bow-legged' (varus alignment), the majority of their weight passes through the worn inner side of the knee. HTO works by precisely realigning the upper part of the shin bone (tibia). Dr. Ravi Teja uses digital standing X-rays to calculate the exact degree of correction needed to shift the weight-bearing axis toward the healthy outer compartment. This effectively 'buys time'—often a decade or more—by taking the load off the damaged cartilage and allowing you to remain highly active in sports and labor without the restrictions of a knee replacement.
Surgical Process
Alignment Map
Using full-length digital standing X-rays to calculate the precise correction angle.
Controlled Osteotomy
Creating a precision cut in the tibia and opening it to the planned anatomical angle.
Internal Fixation
Securing the correction with a high-strength, low-profile titanium plate and compression screws.
Biologic Boost
Optionally using bone graft or biological stimulants to accelerate bone healing at the site.
Patient Care
Recovery Roadmap
Recovery is a structured process. Patients utilize crutches for 6 weeks with protected weight-bearing to allow the bone to heal. Physical therapy starts early to maintain range of motion. Full return to impact sports and heavy activity typically takes 8-12 months once imaging confirms the bone has fully consolidated.
Who Needs This Procedure?
Active patients under 55 with arthritis limited to the inner (medial) knee
Individuals with bow-legged (varus) deformity causing localized joint pain
Patients who wish to continue high-impact activities like running or tennis
Individuals seeking a biological solution to delay or avoid a total knee replacement
Patients with stable ligaments but significant medial compartment wear
Clinical Results & Gallery
Procedural Intelligence
Elite Patient Care
Dr. Ravi Teja provides personalized evaluations using the latest diagnostic technology for High Tibial Osteotomy (HTO).
Book EvaluationElite Standard
Certified Excellence
Safety First
Minimal Complications