Dr. Jagan Mohana Reddy, Best orthopedic surgeon in Hyderabad

Knee Osteotomy

What Is Knee Osteotomy?

Knee osteotomy is a surgical procedure that involves cutting and reshaping the bones of the knee to relieve pressure on damaged cartilage, typically due to early-stage osteoarthritis or joint misalignment. It’s an effective joint-preserving alternative to total knee replacement, especially for younger, active patients.

In most cases, a wedge of bone is either added or removed from the tibia (shinbone) or femur (thighbone) to shift the body’s weight away from the damaged part of the knee to the healthier side.

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Who Needs Knee Osteotomy?

You may be a candidate for knee osteotomy if you:

Have early to moderate arthritis affecting one side of the knee

Experience pain during activity, especially while walking or standing for long periods

Are younger than 60 and physically active

Show signs of knee joint malalignment (bowlegs or knock knees)

Are looking to delay total knee replacement

Still have good knee mobility and ligament function

Our Approach to Knee Osteotomy

Detailed Evaluation

Physical examination and symptom review
X-rays, MRI, and weight-bearing alignment scans to determine joint wear and bone angles

Personalized Surgical Planning

Determination of the amount of bone to remove or add
Decision between high tibial osteotomy (HTO) or distal femoral osteotomy (DFO)

Surgical Procedure

Performed under general or spinal anesthesia
Bone is precisely cut and repositioned
Fixed using plates, screws, or a bone graft
Procedure time: approximately 1.5–2 hours

Recovery & Rehabilitation

Initial protected weight-bearing using crutches or walker
Physiotherapy begins within days to restore mobility and strength
Progressive return to walking and normal activity in 8–12 weeks

Recovery Time

Week 1–2: Hospital stay, pain control, early movement

Week 3–6: Gradual weight-bearing, beginning physiotherapy

Week 6–12: Increased strength, better balance, and walking

3–6 Months: Return to light physical activity

6–12 Months: Full recovery and joint function optimization

Treatment Benefits

Minimal Bone Removal

Joint Preservation

Pain Relief

Improved Mobility

Supports Active Lifestyle