Osteotomy

Osteotomy related to the knee is a surgical procedure where the bone is cut and realigned or repositioned to improve the forces going through the knee, thereby improving knee pain.

Osteotomies may also be done to improve the cosmetic appearance of the limb.

Common osteotomy procedures relating to the knee include:

laminar spreaders opening the bone during high tibial osteotomy high tibial osteotomy

Laminar spreaders open the wedge of a high tibial osteotomy, and then the bone is held in the new position with a plate and screws until new bone fills the gap.
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Related Content

Knee Alignment and Complex Osteotomies

An explanation of different kinds of osteotomy around the knee

What are the alternatives to a joint replacement?

Discussion looking at the alternatives to a joint replacement in active patients whose osteoarthritis tends to be limited.

Osteotomy

Surgery to realign the bony anatomy.

Realignment osteotomy for knee pain

Osteotomy is the procedure of cutting a bone and realigning it to improve anatomy and function. This course by Adrian Wilson, FRCS, focuses on surgical realignment of the femur or tibia in patients whose knee symptoms can be alleviated by altering the forces through one or other side of the knee joint.

Who's Who in osteotomy for knee pain? (angular realignment)

List created by the Editor of knee surgeons with special expertise in angular realignment osteotomy.

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CLINICAL PUBLICATIONS

Tibial Tubercle Osteotomies: a Review of a Treatment for Recurrent Patellar Instability. Grimm NL, Lazarides AL, and Amendola A. Curr Rev Musculoskelet Med. 2018 Jun;11(2):266-271.

Deterioration of patellofemoral cartilage status after medial open-wedge high tibial osteotomy. Knee Surg Sports Traumatol Arthrosc. 2018 Sep 8. doi: 10.1007/s00167-018-5128-7. [Epub ahead of print].

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