Knee Osteotomy

What is knee osteotomy?

Knee osteotomy is a surgical procedure that reshapes the bones around the knee to shift weight-bearing forces away from a damaged or arthritic part of the joint and onto a healthier area. It is generally used to treat early to moderate arthritis confined to one compartment of the knee, particularly in younger or more active patients.

Dr Varun Arora performs knee osteotomy for suitable patients across Melbourne and regional Victoria, aiming to relieve pain and delay or avoid the need for knee replacement surgery.

What is involved in knee osteotomy?

Preparation of the bone

The surgeon identifies the area of the tibia or femur to be reshaped, based on detailed pre-operative planning and imaging.

Realignment

A controlled cut is made in the bone, which is then opened or closed to correct the alignment of the leg, shifting load away from the damaged part of the knee.

Fixation

The corrected position is secured using a plate and screws, which hold the bone in place while it heals.

Your recovery

Recovery involves a period of protected weight-bearing while the bone heals, followed by a structured physiotherapy program. Healing and return to full activity generally take longer than after arthroscopic surgery, reflecting the time bone takes to heal.

General risks overview

As with any surgical procedure, knee osteotomy carries risks. Potential risks and complications can include:

  • Infection

  • Blood clots

  • Delayed or incomplete bone healing (non-union or mal-union)

  • Ongoing pain

  • Stiffness

  • Nerve or blood vessel injury

  • Possible need for further surgery, including future knee replacement

  • Risks associated with anaesthesia

This is a general overview and not a complete list. Dr Arora will discuss the risks and benefits relevant to your individual case in detail.

Knee Osteotomy Frequently Asked Questions

Am I a candidate for knee osteotomy?

This procedure is generally considered for younger, active patients with arthritis confined to one part of the knee. Dr Arora will assess your suitability based on your imaging and individual circumstances.

How is knee osteotomy different from a partial knee replacement?

Osteotomy realigns and preserves your own joint, while partial knee replacement replaces the damaged joint surface. Dr Arora can advise which option may be more suitable for you.

Will I still need a knee replacement in the future?

Osteotomy aims to delay the need for knee replacement, though some patients may eventually require this. Your long-term care will be discussed individually.

Knee Surgery in Melbourne

If you would like to discuss your symptoms or treatment options, contact Dr Varun Arora to schedule a consultation.