High Tibial Osteotomy (HTO)

Realignment surgery to offload damage.

This is a strong option for younger patients with marked deformity and for older patients with early overload-related degeneration. HTO realigns the leg to shift weight onto the healthier side, helping preserve your natural knee and delay joint replacement.

Symptoms

Bow-legged deformity
Inner knee pain
High activity level

Conservative treatment

Unloader bracing (simulates the surgery)
Orthotics
Weight loss

When is surgery needed?

If degenerative changes begin or prophylactically with significant deformity. Opening wedge High Tibial Osteotomy (HTO) with a plate is the operation of choice.