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During a tibial osteotomy your surgeon will adjust the alignment of your lower leg (tibia) and knee so your body weight is shifted toward a healthier part of the cartilage of your knee.

What happens during tibial osteotomy?

Tibial osteotomy is usually performed under general anaesthetic and takes 1 – 2 hours. Your surgeon will make an incision (cut) from just below your knee. They will remove a wedge of bone on the outside of your tibia just under the side of your knee that has healthy cartilage. They will close the wedge with a metal plate or pins to bring the bones in the healthy side of your knee closer and allow for more space in the damaged side. This eases the pressure on the damaged side of your knee allowing you to carry your weight more comfortably.

They will close your wound with stitches or staples and apply a dressing. You may have a cast or brace to protect your knee leg as it heals. We will give you medication for pain relief. Be sure and ask a member of our healthcare team if you are in any pain.

Most patients stay in hospital 1-2 days after osteotomy. A physiotherapist will visit you to give you gentle exercises and assist you in beginning to more around on your own. You will need to use crutches for several weeks.

Going home after tibial osteotomy

You will not be able to drive for several weeks. Please arrange for someone to take you home on your day of discharge.

Continue to take any pain medication if you need it. Ice packs and elevating  your leg to help control any swelling.

After 10 – 14 days you will need to return to hospital to have your stitches removed.

You will continue to work with a physiotherapist to gain range of motion and begin bearing weight on your operated side. Your exercises will also begin to increase your muscle strength and endurance.

About 6 weeks after your surgery you will have a follow-up appointment with your consultant. They will take an x-ray to confirm if the bones are growing. Full recovery can take up to 12 months.

Many patients notice decreased pain and increased mobility following tibial osteotomy. With any surgery there can be complications:

Specific complications of tibial osteotomy:

  • Stiffness in the knee
  • Damage to nerves
  • Failure of bone growth
  • Need for total knee replacement
Find your nearest hospital that provides this treatment

67 Lansdowne Road, Bournemouth, BH1 1RW

01202 291866
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Shenfield Road, Brentwood, CM15 8EH

01277 695695
Overall rating Good

Warren Road, Brighton, BN2 6DX

01273 624 488
Overall rating Good

3 Clifton Hill, Clifton, Bristol, BS8 1BN

0117 906 4870
Overall rating Good

4 Trumpington Road, Cambridge, CB2 8AF

01223 370 922
Overall rating Outstanding
Cardiff and Vale  

Cardiff Bay Hospital, Dunleavy Drive, Cardiff, CF11 0SN

02920 836700

Hatherley Lane, Cheltenham, Gloucestershire, GL51 6SY

01242 246 552
Overall rating Good

Wrexham Road, Chester, CH4 7QP

01244 680 444
Overall rating Good

78 Broyle Road, Chichester, PO19 6WB

01243 530600
Overall rating Good

Rykneld Road, Derby, DE23 4SN

01332 540100
Overall rating Good

Wonford Road, Exeter, EX2 4UG

01392 276 591
Overall rating Good

25 Beaconsfield Road, Glasgow, G12 0PJ

0141 334 9441

Stirling Road, Guildford, GU2 7RF

01483 555 800
Overall rating Good
Haywards Heath  

Burrell Road, Haywards Heath, RH16 1UD

01444 456999
Overall rating Good

Venns Lane, Hereford, HR1 1DF

01432 355 131
Overall rating Good

Foxhall Road, Ipswich, IP4 5SW

01473 279100
Overall rating Good

2 Leighton Street, Leeds, LS1 3EB

0113 388 2111
Overall rating Outstanding

Scraptoft Lane, Leicester, LE5 1HY

0116 276 9401
Overall rating Good
Newcastle upon Tyne  

Clayton Road, Newcastle-upon-Tyne, NE2 1JP

01912 816 131
Overall rating Good
North Staffordshire  

Clayton Road, Newcastle-under-Lyme, ST5 4DB

01782 382551
Overall rating Good

Beech Road, Headington, Oxford, OX3 7RP

01865 307777
Overall rating Good

Derriford Road, Plymouth, PL6 8BG

01752 775 861
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Longden Road, Shrewsbury, SY3 9DP

01743 282 500
Overall rating Good

Staplegrove Elm, Taunton, TA2 6AN

01823 286 991
Overall rating Good

Junction Road, Norton, Stockton on Tees, TS20 1PX

01642 360 100
Overall rating Outstanding
Tunbridge Wells  

Kingswood Road, Tunbridge Wells, TN2 4UL

01892 531 111
Overall rating Good

The Chase, Old Milverton Lane, Leamington Spa, CV32 6RW

01926 427971
Overall rating Good

Winchester Road, Chandlers Ford, Eastleigh, SO53 2DW

02380 266 377
Overall rating Good

Wood Road, Tettenhall, Wolverhampton, WV6 8LE

01902 793 269
Overall rating Good

Haxby Road, York, YO31 8TA

01904 715 000
Overall rating Good

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