High Tibial Osteotomy Surgery

High tibial osteotomy surgery in Indore is a joint preserving surgical procedure performed in younger, active patients with arthritis limited to one side of the knee — generally the inside (medial) compartment — and bow-legged (varus) alignment. The procedure involves realigning the shin bone to precisely redistribute body weight from the worn compartment to the healthy cartilage, relieving pain while retaining the patient’s own knee.

Dr. Sanjay Rawat (MBBS, MS Orthopaedics), Consultant Joint Replacement Surgeon and Consultant Arthroplasty at Shalby Hospitals, Indore (since 2018) has been practicing orthopaedics for more than 7 years and treated more than 5000 patients through knee, hip & shoulder joint replacement surgeries.

High tibial osteotomy is often the answer for patients in their thirties, forties and fifties who are told they are too young for knee replacement and can buy years — sometimes decades — of active, natural-knee life.

To know if your knee qualifies, call +91-9244044779

Common Problems We Repair

High tibial osteotomy is directed at a very specific and common pattern of knee problems:

Pain localized to the inner side of the knee that worsens with walking, climbing stairs, or standing for long periods.
Bow-legged (varus) alignment, where the knees angle outward, causing excessive pressure on the inner compartment of the knee.
Early or mild osteoarthritis of the medial compartment, while the remaining parts of the knee remain healthy.
Younger or middle-aged patients who wish to delay knee replacement surgery and maintain their natural knee joint.
Individuals with physically demanding jobs or active lifestyles where an artificial knee joint may wear out prematurely or restrict activity.
Persistent knee pain despite conservative treatments, including weight management, physiotherapy, medications, and injections.
Cartilage or meniscus damage on the medial side of the knee, sometimes following a previous meniscectomy, leading to uneven wear in one compartment.
Progressive knee discomfort and reduced function caused by uneven weight distribution across the knee joint.

What is a High Tibial Osteotomy Surgery?

High tibial osteotomy (HTO) is a re-alignment procedure on the upper shin bone. The tibia is carefully cut just below the knee, the leg is realigned at a precisely calculated angle and the new position is secured with a strong plate and screws. The modern technique most commonly used is the medial opening-wedge osteotomy, which is done by opening the bone on the inner side by the desired amount and fixing the bone with a locking plate to allow it to heal in the corrected position.

The aim is to spread the load. The mechanical axis of the leg passes through the diseased medial side in a bow-legged knee with medial compartment osteoarthritis. HTO shifts that axis toward the healthy outer compartment, taking the worn cartilage off the table. First the mechanics, then the pain relief. Remove the overload and the damaged compartment is protected and the symptoms settle. The patient retains a fully natural knee with no artificial bearing surfaces and no restrictions on kneeling, squatting or impact that implants impose.

The key to osteotomy surgery is planning. We take full-length standing alignment X-Rays of the whole lower limb to measure the deformity and calculate the exact angle of correction, that plan is then performed in theatre with accurate cuts and fixation. In the next few weeks the bone will heal like a controlled fracture – the plate protects it and you can get early motion back.

HTO is a joint-preserving surgery, the philosophy is to maintain the natural joint as much as possible biologically, and to save the joint replacement for the joint that is truly not salvageable. At Dr. Sanjay Rawat’s practice in Indore, patients can get not only arthroscopy and the full range of knee replacement, but also osteotomy, so they get the surgery their knee really needs, and not the only one on offer.

Advantages

High tibial osteotomy offers a unique set of benefits in well-selected patients:

Preservation of the natural knee – no artificial bearing surfaces, no implant wear cycle, and native joint sensation is maintained.
Real, lasting pain relief by off-loading the injured compartment of the knee.
Greater freedom for high-demand activities such as manual work, kneeling, squatting, and sports participation, which are generally more achievable than after knee replacement.
Delays knee replacement for years—often a decade or more—making it particularly beneficial for patients in their 30s, 40s, and 50s.
Improves knee mechanics and appearance by correcting the visible bow-legged deformity.
Preserves future treatment options, as knee replacement surgery can still be performed later if required.
A biological solution, where the patient’s own bone heals in the corrected position without the need for ongoing implant surveillance once union is achieved.

How it works: The Procedure

Dr. Sanjay Rawat performs High Tibial Osteotomy through a precision-planned treatment pathway:

Consultation & Selection – Evaluation of pain pattern, limb alignment, ligament stability, and range of motion to verify that the arthritis is truly isolated to a single compartment of the knee.
Alignment Analysis – Full-length standing X-rays of the entire lower limb are used to quantify the deformity. MRI may be performed to assess the cartilage in other compartments and evaluate the menisci when required.
Planning the Correction – The correction angle and hinge point are calculated in advance—the intellectual core of osteotomy surgery. The surgical plan, along with available alternatives, is discussed in detail with the patient.
Preparation – Anaesthesia assessment, medical optimisation, and detailed counselling regarding the healing timeline and staged return to full weight-bearing activities.
Surgery – The planned cut through the tibia is performed, and the correction is opened to the calculated angle under imaging guidance. A locking plate is then used to secure the new alignment in place.
Protected Rehabilitation – Early knee motion begins immediately after surgery. Weight-bearing is gradually increased as X-rays confirm bone healing, followed by strengthening exercises and activity-specific rehabilitation.
Follow-up & Union Review – Serial X-rays are used to confirm osteotomy union in the corrected position. Milestones for full weight-bearing, return to work, and return to sports are reviewed throughout recovery.

Each stage is planned in advance, reflecting Dr. Sanjay Rawat’s commitment to patient education. Patients are informed not only that they are undergoing an osteotomy but also why their knee is worth preserving and what the recovery journey will involve.

Why Choose Dr. Sanjay Rawat

Osteotomy demands precisely the skill set of a high-volume knee surgeon: deformity analysis, precise execution, and honest judgment about when to preserve a knee and when to replace it.

Dr. Sanjay Rawat (MBBS, MS Orthopaedics) is a Consultant Joint Replacement Surgeon and Consultant Arthroplasty at Shalby Hospitals, Indore (since 2018). He has more than 7 years of orthopaedic experience and has treated more than 5,000 patients through knee, hip, and shoulder joint replacement surgeries. His practice includes knee arthroscopy, osteotomy, and every category of knee replacement, providing the full decision space that this choice requires.

He completed his MBBS and MS (Orthopaedics) from Mahatma Gandhi Medical College and MY Hospital, Indore. He has worked as a Senior Consultant in Joint Replacement at Shalby Hospital, Ahmedabad, and as an Assistant Professor at Amaltas Medical College, Dewas. He is a member of the Indian Society of Hip and Knee Surgeons (ISHKS). His ongoing professional involvement includes participation in ISHKS Hyderabad 2023 and training exposure at the Ranawat Orthopaedic Center in New York (2023).

His approach is ethical and conservative first. If your knee can be saved, preserving it is recommended. If knee replacement is genuinely the better option, that recommendation is given clearly and honestly.

Regular consultation services are also available in Bhopal, Khargone, and Barwani.

Call +91-9244044779 to book your appointment for knee alignment and cartilage assessment.

Industry Trends & Insights

Joint preservation is being rediscovered worldwide. With the increasing diagnosis of arthritis in younger and more active patients, High Tibial Osteotomy (HTO) has experienced renewed popularity internationally, supported by the development of modern locking plates that provide more reliable fixation than was possible in the past.

Another factor driving this trend is the advancement of planning technology. Digital deformity analysis and, in advanced centres, patient-specific planning have made corrections more accurate and outcomes more predictable. These innovations have further established osteotomy as an important treatment option alongside partial and total knee replacement.

The trend is particularly relevant in India, where knee osteoarthritis often develops in patients in their forties and fifties. Occupations and lifestyles that involve floor sitting, squatting, and manual work make preservation of the natural knee especially valuable. Patients in Indore and across Central India now have access to osteotomy as a genuine alternative to early knee replacement.

High Tibial Osteotomy Surgery in Indore

High tibial osteotomy surgery in Indore is a joint-preserving procedure performed in younger, active patients with bow-legged alignment and arthritis limited to the inner (medial) compartment of the knee. By shifting body weight onto healthy cartilage, the procedure relieves pain while preserving the natural joint, allowing patients to continue activities such as kneeling, squatting, and sports participation. It can often delay knee replacement for many years without compromising future replacement options if they become necessary.

The procedure is planned using full-length alignment X-rays, with the correction angle carefully calculated and secured using a modern locking plate system to ensure accurate realignment and stable healing.

Dr. Sanjay Rawat (MBBS, MS Orthopaedics) is a Consultant Joint Replacement Surgeon and Consultant Arthroplasty at Shalby Hospitals, Indore (since 2018). He has more than 7 years of experience in orthopaedics and has treated over 5,000 patients through knee, hip, and shoulder joint replacement surgeries. He is also an active member of the Indian Society of Hip and Knee Surgeons (ISHKS).

Contact Details

Phone: +91-9244044779
Email: dr.sanjay.rawat@gmail.com
Address: RS Bhandari Marg, Race Course Road, Indore, Madhya Pradesh 452003
Additional Consultation Locations: Bhopal, Khargone & Barwan

SCHEDULE YOUR CONSULTATION

Chronic joint pain need not control your everyday life. If you or your loved one is planning for High Tibial Osteotomy Surgery in Indore, the first step is to have a structured consultation.

Dr. Sanjay Rawat (MBBS, MS Orthopaedics) is a Consultant Joint Replacement Surgeon and Consultant Arthroplasty at Shalby Hospitals, Indore (2018–Present). Dr. Rawat believes in treating every patient as an individual and recommends surgery only after all conservative options have been exhausted.

To make an appointment, call +91-9244044779, WhatsApp +91-9512917493, or email dr.sanjay.rawat@gmail.com.

Clinic Address:
RS Bhandari Marg, Race Course Road, Indore, Madhya Pradesh 452003.

We also provide regular consultation services in Bhopal, Khargone, and Barwani.