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Osteotomy aims to restore the correct mechanical or offloading alignment of the knee, as well as its natural structure. It is used to treat symptoms such as pain, inflammation and instability caused by cartilage wear due to poor alignment of the limb. It is generally used in younger patients and athletes, considered too young for a total or partial knee replacement.


It is a surgery  which allows the surgeon to precisely plan the amount of correction to be applied through detailed preoperative radiographs (XRs) of the leg, from hip to ankle, in standing position. These x-rays allow you to plan the operation on the computer in great detail and predict the outcome of the surgery in advance.

The surgeon plans precise surgical correction of the proximal tibia (shin) or occasionally, the distal femur (thigh bone), depending on the specific problem and preoperative natural alignment.


During the procedure, using a saw, the surgeon makes a small surgical cut in the bone (osteotomy) at the precise location and angle, allowing it to be moved before fixing it in the chosen position with locking plates and state-of-the-art titanium screws. .

During the first 6 postoperative weeks, the patient can do partial unloading as the bone begins to heal and the leg recovers from surgery.


The result of the surgery and the best alignment achieved are evaluated radiographically at regular intervals over the following 6 months. 


By improving mechanical or unloading alignment, the surgeon aims to improve pain, edema and instability, and delay the appearance of degenerative osteoarthritis by protecting the remaining or repaired cartilage of the knee.

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