Knee osteotomy

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What you can expect

By Mayo Clinic staff

During the procedure
You'll receive either a general or spinal anesthetic.

  • General anesthetic. This type of medicine is typically given through narrow flexible tubing inserted into a vein in your arm or hand. You are asleep and don't feel or remember the procedure.
  • Spinal anesthetic. With a spinal anesthetic, the medicine is delivered to an area very near your spinal cord. This will numb you from your waist to your feet.

Measures to help prevent blood clots in your legs may include:

  • Compression stockings
  • Air-filled tubes that rhythmically squeeze your legs

Fixation devices, such as plates or screws, may be used to hold the pieces of bone in place as you heal.

After the procedure
You may be able to go home later in the day of your surgery, or you might stay in the hospital for a night or two. You'll need to use crutches for approximately two months so that your bone will heal properly. Rehabilitation may take as long as six months and will include exercises designed to:

  • Strengthen your thigh muscles (quadriceps)
  • Increase your knee's range of motion
  • Improve your balance
References
  1. Martin GM, et al. Total knee arthroplasty. http://uptodate.com/home/index.html. Accessed June 8, 2009.
  2. Osteotomy and unicompartmental knee arthroplasty. American Academy of Orthopaedic Surgeons. http://orthoinfo.aaos.org/topic.cfm?topic=A00354. Accessed June 8, 2009.
  3. Surgical treatment of joint diseases: Surgical therapy. In: Goldman L, et al. Cecil Medicine. 23rd ed. Philadelphia, Pa.: Saunders Elsevier; 2007. http://www.mdconsult.com/das/book/body/142280826-3/850076489/1492/1060.html#4-u1.0-B978-1-4160-2805-5..50304-9--cesec15_13385. Accessed June 8, 2009.
  4. Spangehl MJ (expert opinion). Mayo Clinic, Rochester, Minn. June 16, 2009.
  5. Surgical techniques for high tibial osteotomy. In: DeLee JC, et al. DeLee & Drez's Orthopaedic Sports Medicine: Principles and Practice. 2nd ed. Philadelphia, Pa.: Saunders Elsevier; 2003. http://www.mdconsult.com/das/book/body/142424814-5/850372119/1103/979.html#4-u1.0-B0-7216-8845-4..50030-2--cesec377_3900. Accessed June 9, 2009.

MY00710

Aug. 27, 2009

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