High Tibial Osteotomy

With each step, forces equal to three to eight times your body weight travel between the thigh bone (femur) and shin bone (tibia) in your knee. These forces are dampened by a meniscus on the inner and outer portion of the knee, and the ends of the bones are protected by articular cartilage.

Patients with a condition known as osteoarthritis, or degenerative arthritis, experience a successive wearing on the menisci and articular cartilage, which may develop tears. These degenerative processes limit the ability of the knee to glide smoothly and can result in popping, catching, locking, clicking and pain.

In a condition called malalignment, unbalanced forces cause excessive pressure on either in the inner (medial) or outer (lateral) portion of the knee. Degenerative arthritis and malalignment can cause the knee’s protective tissues to wear on one side more than the other in a repetitive cycle of damage. A partial or total knee replacement can correct this condition when joint damage is beyond repair.

 

Treatment

In certain cases, however, a technique known as an osteotomy can realign the knee, taking pressure off the damaged side. A procedure known as a high tibial osteotomy wedges open the upper shin bone (tibia) to reconfigure the knee joint. The weight-bearing part of the knee is shifted from degenerative or worn tissue onto healthier tissue.

A high tibial osteotomy is generally considered a method of prolonging the time before a knee replacement is necessary because the benefits typically fade after eight to ten years. This procedure is typically reserved for younger patients with pain resulting from instability and malalignment. An osteotomy may also be performed in conjunction with other joint preservation procedures in order to allow for cartilage repair tissue to grow without being subjected to excessive pressure.

  • Anterior Cruciate Ligament
  • Bursitis – pes Anserive
  • Cartilage Injuries
  • Degenerative Joint Disease (Osteoarthritis)
  • Iliotibial Band Syndrome
  • Knee Sprains & Strains
  • Lateral Collateral Ligament Injuries
  • Loose Bodies
  • Medial Collateral Ligament (MCL) Injury
  • Meniscus Tears
  • Osgood Schlaater Disease
  • Osteochondritis Dissecans
  • Osteonecrosis of the Knee
  • Patella Tendonitis
  • Patella Tendon Rupture
  • Patellofemoral Pain Syndrome (Runner’s Knee)
  • Posterior Cruciate Ligament Injury (PCL)
  • Quadriceps Tendon Tear
  • Unstable Kneecap

  • Anterior Cruciate Ligament Repair (ACL)
  • Arthroscopic Chondroplasty
  • Arthroscopic Meniscus Repair
  • Autologous Chondrocyte Transplantation
  • Bilateral Knee Replacement Surgery
  • Cartilage Transplant
  • Computer-Assisted Total Knee Arthrhoplasty
  • High Tibial Osteotomy
  • JOURNEY II Total Knee Replacement
  • Knee Arthroscopy
  • Lateral Collateral Ligament (LCL) Repair
  • Medial Collateral Ligament (MCL) Repair
  • Meniscus Repair
  • MPFL Reconstruction of the Patella
  • OCE – Repair of the Osteochondritis
  • Partial Knee Replacement
  • Partial Knee Resurfacing
  • Partial Menisectomy
  • Posterior Cruciate Ligament (PCL) Repair
  • Revision Knee Surgery
  • Subchondroplasty
  • Total Knee Replacement ~ VERILAST
  • Total Knee Replacement ~ VISIONAIRE
  • Uni-Compartmental Joint Repair

The Orthopedic physicians at Peninsula Bone & Joint Clinic provide conservative treatment options for Knee conditions and injuries.

Treatment Highlights

Innovative Implant Design

Smith Nephew JOURNEY II BCS knee is a second-generation knee replacement that combines the stability and natural motion of the human knee with new low-friction materials that may extend the life of the implant.

This Implant Technology is one of several innovative implant solutions  provided by Dr. Robert Detch of Peninsula Bone & Joint Clinic.

Peninsula Bone & Joint Clinic

The Orthopaedic physicians at Peninsula Bone & Joint Clinic provide comprehensive services to all members of the family.
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Disclaimer

The information found on this site is for general orthopedic purposes only. In a medical emergency please dial 911 or go to your nearest Emergency Room.