Limb Alignment Surgery (HTO) in Bangalore
If your knee is bow-legged or knock-kneed, your weight does not pass through the joint evenly, and one side wears out faster than the other. A high tibial osteotomy corrects that alignment: the shin bone is cut and reset so load is shared across the joint again, taking pressure off the damaged compartment. For younger, active patients with arthritis in one part of the knee, it can relieve pain and postpone joint replacement, using your own joint rather than an implant.
Symptoms to watch for
- Pain along one side of the knee, typically the inner side
- A bow-leg or knock-knee that has become more visible over time
- Pain that worsens with walking, standing or sport
- Early arthritis on X-ray, confined largely to one compartment
When treatment is considered
- Malalignment that is overloading one compartment of the knee
- Early to moderate arthritis in that compartment, with the others preserved
- An active patient who wants to delay or avoid joint replacement
- Knee instability where realignment supports a ligament reconstruction
A careful, minimally invasive approach
Modern techniques that treat the problem while protecting the healthy tissue around it.
Measuring the alignment
Full-length standing X-rays show exactly where the weight-bearing axis falls through your leg, and how much correction is needed to move it off the damaged side.
Opening-wedge osteotomy
The tibia is cut precisely below the knee and opened to the planned angle, then held with a plate and screws while the bone unites in its corrected position.
Preserving the joint itself
Nothing inside the knee is replaced. The joint surfaces, ligaments and meniscus stay as they are; what changes is how load passes through them.
A recovery you can follow, step by step
Recovery is guided and gradual, with clear milestones and physiotherapy support at every stage. Your exact timeline is tailored to you.
Guided by structured physiotherapy- 01
Week 0-2
Protected weight-bearing on crutches while the osteotomy begins to heal
- 02
Weeks 2-6
Progressive loading as healing is confirmed on review imaging
- 03
Weeks 6-12
Physiotherapy rebuilds strength and a normal walking pattern
- 04
3-6 months
Return to full activity once the bone has united
Conditions treated
Limb Alignment Surgery (HTO): your questions
It can postpone it, sometimes for years, by moving load away from the worn compartment. If arthritis later progresses, a knee replacement remains fully possible.
It tends to suit younger, active patients with arthritis limited to one compartment and a deformity that can be corrected. Suitability is judged on your alignment films, the state of the rest of the joint and your activity goals.
Weight-bearing is protected at first and increased as healing is confirmed on imaging. Your surgeon sets the timeline from the correction performed and how the bone responds.
Usually it can stay. It is removed only if it causes irritation once the bone has fully united.
Explore related care
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Book a consultation
Considering limb alignment surgery (hto)?
Book a consultation with Dr. Yogish to understand whether it is right for you, with a clear explanation of every option and no pressure to proceed.