Corrective supratubercular tibial osteotomy. The essence of the operation is the oblique bone cut (osteotomy) above the own patellar ligament’s fixation to the tubercle of a tibia. After the elimination of the deformity, the bone should be fixed with a special shaped titanium plate.
The corrective supratubercular osteotomy of a tibia is indicated on the 2-3 stage of gonarthrosis comminuted with a varus (O-shaped) knee deformity, giving a possibility to avoid to postpone significantly the total knee arthroplasty in the future. The essence of the operation is the oblique bone cut (osteotomy) above the own patellar ligament’s fixation to the tubercle of a tibia. After the elimination of the deformity, the bone should be fixed with a special shaped titanium plate.
Left-sided gonarthrosis of the 3rd stage, with a varus deformity. The result of the corrective osteotomy
The operation lasts about 40 minutes, with a spinal anesthesia. Sometimes it is extended with the knee arthroscopy, if the internal meniscus is ruptured. The patients withstand this surgery well, and can leave their bed on the next day after the operation. However, they are recommended to walk with crutches within 3 months.