Osteotomy is increasingly becoming the treatment of choice for patients with joint problems who want to avoid invasive surgeries such as endoprosthesis implantation. Among modern surgical solutions Knee osteotomy stands out as an effective procedure to correct the limb's axis and relieve pressure on damaged joint surfaces. In our article, we explain what this procedure is, who it is recommended for, and the importance of well-planned rehabilitation after osteotomy.
In this article:
- What is a knee osteotomy?
- Knee osteotomy - advantages for active patients
- Knee osteotomy - rehabilitation the key to health
- Summary
What is a knee osteotomy?
Knee osteotomy is a surgical procedure involving a controlled incision of the bone to correct the mechanical axis of the knee joint. By precisely moving bone fragments and stabilizing them with a fusion plate, it is possible to relieve pressure on the damaged compartment of the joint, which leads to reduced pain and improved knee function. The procedure is often used for joint deformities that can lead to pain and reduced mobility. With osteotomy, the load on the damaged part of the joint can be reduced, helping to improve patients' quality of life.
Types of osteotomies
The knee osteotomy procedure is divided into two main types: supracondylar and popliteal osteotomy. Supracondylar osteotomy involves the femur, while popliteal osteotomy involves the tibia. Both procedures are performed with intraoperative X-rays, which allows precise control of angles and axes during surgery, increasing the effectiveness of the procedure. Popliteal osteotomy is mainly aimed at active patients who want to avoid knee replacement. It is recommended for osteoarthritic changes that affect only one compartment of the knee joint.
Indications for knee osteotomy
Knee osteotomy is a surgical procedure that is used for patients with certain orthopedic problems, especially when other treatment methods have failed. This procedure not only allows Relieve pain and improve joint stability, but also to delay the need for a knee replacement, which is particularly important for younger and active people. The decision to qualify a patient for surgery is based on an analysis of a number of factors, including the type and location of degenerative changes, general health and previous orthopedic procedures. The most common indications for knee osteotomy include:
- advanced deformities of the limb axis, such as a valgus or scaphoid knee;
- chronic pain in the knee joint associated with inflammatory processes;
- advanced arthrosis, especially if previous conservative treatment has not been successful;
- degenerative changes limited to one compartment of the knee joint, which allows to preserve the rest of the pond;
- The need to delay endoprosthesis, especially in younger and active patients;
- previous orthopedic procedures, e.g. ligament reconstruction of the knee joint, which require further correction of limb axis alignment.
With a properly performed osteotomy, it is possible to significantly reduce pain, improve joint function and extend the time without the need for an endoprosthesis.
Knee osteotomy - advantages for active patients
Knee osteotomy is an effective alternative to knee endoprosthesis, especially for active patients who want to preserve their natural joint. This procedure avoids the implantation of an artificial joint, which is particularly important for younger people with active lifestyles. During the osteotomy, the doctor performs a precise correction of the mechanical axis of the lower limb, which leads to the relief of the damaged compartment of the joint.
Preservation of the natural pond
One of the main advantages of knee osteotomy is the possibility of avoiding endoprosthesis, the implantation of an artificial knee joint. This procedure is aimed at people with early degenerative changes, which affect only one compartment of the knee joint. With osteotomy, patients can enjoy a natural joint for many years, which is especially important for younger and active people. In the case of concomitant damage to joint structures, such as the meniscus, the procedure can be combined with a procedure such as the meniscus repair.
Relieve pressure on the damaged joint compartment
Knee osteotomy involves a controlled incision of the bone and reshaping of its shape to correct the mechanical axis. By precisely repositioning the bone fragments and stabilizing them with a fusion plate, it is possible to relieve pressure on the damaged joint compartment. This, in turn, leads to Reduce pain and improve the function of the knee joint.
Improved knee function, reduced pain and ability to return to physical activity
Patients who undergo knee osteotomy often experience significant pain relief and improved joint function, allowing them to return to their daily activities. Many report being able to return to sports such as cycling and skiing after the procedure, making a significant difference in their quality of life. Knee osteotomy not only reduces pain, but also improves joint stability and mobility, enabling patients to enjoy life to the fullest.
Knee osteotomy - rehabilitation the key to health
For a procedure such as knee osteotomy, rehabilitation is a key part of the recovery process, allowing patients to return to full fitness and physical activity. The process is individualized and usually lasts 6 to 10 months, depending on the surgical method and the patient's capabilities. Systematicity and appropriate adjustment of exercises are essential to achieve optimal results. Supporting this process is individually planned physical rehabilitation.
Stages of rehabilitation
Performed after knee osteotomy surgery rehabilitation consists of several stages aimed at gradually restoring full joint function and strengthening the muscles. The first weeks after surgery include isometric exercises, which help maintain muscle strength without putting strain on the operated limb. Then, patients move on to mobilization exercises and learning to use crutches or walkers. In the following months, exercises with full weight on the limb are gradually introduced to rebuild muscle strength and improve range of motion.
Importance of regularity and adaptation of exercises to the patient's capabilities
Systematicity in the performance of rehabilitation exercises and their appropriate adaptation to the patient's capabilities are key to achieving success in the recovery process. Regular performance of the recommended exercises not only speeds up the return to full fitness, but also minimizes the risk of complications As well as the recurrence of pain. The physiotherapist works with the patient to customize the intensity and type of exercises to ensure optimal results.
Summary
Knee osteotomy is a modern and effective alternative to endoprosthesis, which allows correction of the limb's axis, relieving pressure on the joint and returning to full function. The procedure, combined with appropriate rehabilitation, gives patients the chance to improve their quality of life without having to replace the joint. At Neuroport - the Center for Neurological and Orthopedic Rehabilitation -. we provide comprehensive specialized care, individually tailored improvement program and access to modern physiotherapy methods. Trust the experience of our team and return to activity with full fitness.
