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Anatomy of the Knee

Osteoarthritis of the knee is troublesome and disabling disorder.  A few years ago, there were not very many options other than arthroplasty (joint replacement), which is the ultimate treatment option even now, BUT for those who are above 60 years of age, not very active in the sense of demanding sports, who are not going to put lot of load on the artificial joints.  For a young patient of less tan 60 years , who is beginning to loose the cartilage cushion in the knee, the High Tibial Osteotomy (HTO) is the procedure which adds life to the knee.

When the cartilage cover is lost, bones of the knee joint start to grind on each other giving rise to pain and overloading one side of the joint.  The general tendency is to ignore the pain or take painkillers and continue with the daily activities.  As this goes on the knees get worn out and then there is nothing much left to do than a joint replacement. But if tackled in the intial stages by HTO one gets complete relief from pain, the degenerative process slows down and one can lead a healty and active lifestyle ultimately either deferring a joint replacement surgery by about 15 years OR eliminating the need for replacement altogether.

In HTO, the tibia is cut through 1 cm incision and straightened.  The bone is fixed using either an external fixator or a bone plate.  The fixator assists in gradual and accurate correction of the bone in the postoperative period whereas the plate helps to maintain the correction achieved immediately in the surgery.  The hospital stay is about 5 days and the procedure virtually painless.  The load distribution of the joint is corrected and the degeneration slows down.  The joint space also becomes normal with time as the cartilage “grows back.”

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Deformity Correction Center for correction of all kinds of deformities, including osteoarthritis.

This is akin to wheel balancing; when the tyres are not in alignment what they need is correction of alignment and not replacement.  Similarly when the malalignment of the leg is tackled by this kind of procedure the balancing of natural knee is achieved with good results.

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contact www.doctorsatdistance.com or +91 9869474627
Email : indiacures@gmail.com