Dr. Hisham Abdel Baki is the most famous Orthopaedic and Joint Replacement Surgeon in Dubai. At present, he is serving at Saudi German Hospital, Dubai. With an experience of more than 34 years he specializes in the treatment of arthroscopic knee surgeries, correction of lower limb deformities, treatment of foot problems, hip and knee problems, Hip and knee replacement surgeries. His education qualification includes MBBS, MD, and MS from Ain Shams University Egypt. He has contributed to many international publications, essays, and presentations. His interest lies in the treatment of Hip and Knee Joint Replacement, Arthroscopic Treatment of the Knee, Correction of Lower Limb Deformities.
High Tibial Osteotomy
It is an orthopaedic surgery administered to correct knee misalignment that has resulted in osteoarthritis. Osteotomy is the process of cutting the bone. In this procedure, the tibia is cut and reshaped to alleviate pressure on the knee. This leads to pain relief and improved function of the joint.
Reasons for High Tibial Osteotomy
- To treat osteoarthritis of the knee
- A preferred treatment in young and active patients who do not want knee replacement surgery.
- Difficulty in walking and general discomfort within the patient
- To correct the malalignment of the knee joints
- To remove the pressure from the damaged side
- To transfer the weight-bearing from the damaged or worn tissue.
Surgical Procedure for High Tibial Osteotomy
In this procedure, a wedge of bone is far away from the surface of the tibia. To ensure correct placement of the osteotomy X-ray is used. The wedge of bone is cut the osteotomy is slowly closed. It is then compressed with a plate and screws that are used to hold the osteotomy rigidly.
Two methods to perform a high tibial osteotomy are:
- Closing Wedge Osteotomy
It involves removing a wedge of bone below the joint in the upper part of the tibia. For patients with arthritis affecting the medial compartment, the bone wedge is taken from the outer a neighbourhood of the tibia. Once the wedge of bone is removed the 2 bone ends are then put together. They are held with either a metal plate or pins. This affects shifting your weight from the inner a neighbourhood of the knee to the non-affected lateral compartment.
- Opening Wedge Osteotomy
In this technique, the surgeon cuts through the tibia on the medial side. It opens a wedge by adding a bit of bone graft from the pelvic area to carry the wedge open. To stabilize this, a plate is inserted once more. This operation is also performed in the upper part of the tibia below the knee joint.
Risks and Complications of High Tibial Osteotomy
- Infection
- Bleeding
- Anaesthesia Risk
- Recurrence Of Deformity
- Loss Of Posterior Slope
- Patella Baja
- Peroneal Nerve Palsy
Take Away
You need to take care of yourself very well post-surgery. Take medications timely and follow a healthy routine. For best results, you should undergo the treatment with an experienced surgeon. Contact Dr. Hisham Abdel Baki one of the best Orthopaedic and Joint Replacement Surgeons in Dubai. You can meet him at Saudi German Hospital, Dubai.