High tibial osteotomy is a re-alignment procedure that is useful for younger, high-demand active patients who have severe symptoms related to the knee osteoarthritis.
This involves re-aligning the knee via cuts in the main shin bone (tibia) to allow the weight as it falls through the lower limb to move from an area of poor and damaged cartilage onto a remaining area of healthy cartilage.
In patients who meet strict criteria it is typically a highly successful procedure with good outcomes over a 5-10 year period. The procedure is used in younger patients who have severe problems but are unsuitable for a knee replacement due to their age or activity levels.
This is a procedure I may discuss with you if you are a younger more active patient with severe knee arthritis.