Tibial Osteotomy with Closed Wedge

Overview

This surgical procedure is used in cases where osteoarthritis has affected only one side of the knee joint. The tibia is cut and realigned so that pressure is shifted from the damaged side of the knee joint to the healthier side.

Preparation

The patient is positioned so that the knee is clearly visible to the physician, and the area is cleaned and sterilized. An IV is administered for general anesthesia.

Accessing the Knee

An incision is made on the outer side or front of the knee to allow access to the knee joint and the tibia. The joint is examined.

Realigning the Tibia

The tibia is cut in two places and a wedge of bone is removed. The two sides of the tibia are carefully bent together to close the opening. A metal plate is inserted and screws are attached. The metal plate will help hold the tibia together while it heals.

End of Procedure

The incision is closed with sutures or surgical staples and the leg is placed in a splint. A hospital stay of one to two days is necessary, and patients will receive physical therapy. A knee brace and crutches may be needed for up to six weeks after the surgery.

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