Cost of High Tibial Osteotomy in Major cities of India
| City | Minimum Cost (USD) | Minimum Cost (INR) | Maximum Cost (USD) | Maximum Cost (INR) |
|---|---|---|---|---|
| Ahmedabad | USD 5850 | 500994 | USD 8550 | 732222 |
| Bangalore | USD 6500 | 556660 | USD 9500 | 813580 |
| Chennai | USD 6500 | 556660 | USD 9500 | 813580 |
| Delhi | USD 6500 | 556660 | USD 9500 | 813580 |
| Faridabad | USD 6500 | 556660 | USD 9500 | 813580 |
| Ghaziabad | USD 6500 | 556660 | USD 9500 | 813580 |
| Gurgaon | USD 6500 | 556660 | USD 9500 | 813580 |
| Gurugram | USD 6500 | 556660 | USD 9500 | 813580 |
| Hyderabad | USD 6500 | 556660 | USD 9500 | 813580 |
| Kochi | USD 6500 | 556660 | USD 9500 | 813580 |
| Kolkata | USD 6500 | 556660 | USD 9500 | 813580 |
| Mohali | USD 5850 | 500994 | USD 8550 | 732222 |
| Mumbai | USD 6500 | 556660 | USD 9500 | 813580 |
| Noida | USD 6500 | 556660 | USD 9500 | 813580 |
| Panjim | USD 5850 | 500994 | USD 8550 | 732222 |
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High Tibial Osteotomy(HTO) is a specialised surgical procedure used to relieve chronic knee pain and improve joint function, especially in people with osteoarthritis affecting only one side of the knee, typically the inner (medial) compartment. The goal is to realign the knee and shift weight-bearing away from the damaged area, helping to reduce discomfort and delay the need for total knee replacement.
During the surgery, the upper part of the tibia (shinbone) is carefully cut and repositioned. This may involve creating a small wedge-shaped opening (opening-wedge osteotomy) or removing a wedge of bone (closing-wedge osteotomy), depending on the alignment correction needed. The adjusted bone is then secured with metal plates and screws to maintain stability as it heals.
After the procedure, patients usually wear a brace and may use crutches to avoid putting weight on the leg initially. As healing progresses, a structured physiotherapy program begins to restore strength, flexibility, and range of motion in the knee. With consistent rehab and follow-up care, many patients experience pain relief and an improved ability to walk, exercise, and perform everyday activities.
- Chronic knee pain localised to the inner or outer side
- Pain aggravated by standing, walking, or physical activity
- Stiffness and reduced range of motion
- Difficulty with climbing stairs or standing for long periods
- Visible bow-legged or knock-knee deformity
- Clinical examination and evaluation of walking pattern
- X-rays and MRI scans to assess the extent of arthritis and joint alignment
- Blood tests and anaesthesia clearance
- Smoking cessation and weight management, if applicable
- Detailed discussion about the procedure, rehabilitation, and expectations
- Fasting for 6–8 hours before surgery
- A wedge-shaped cut is made on the inner side of the tibia.
- The bone is carefully opened, and a metal plate is used to hold it in place.
- Bone graft material may be added to fill the gap.
- A wedge of bone is removed from the outer side of the tibia.
- The remaining bone is closed and fixed with plates and screws.
- The surgery typically takes 1.5 to 2.5 hours
- Hospital stay is usually 2 to 4 days
- Full recovery and return to sports or physically demanding activities may take 4 to 6 months, depending on the patient’s age, the rate of bone healing, and the intensity of rehabilitation.
- Bleeding
- Infection
- Delayed or non-union of the bone
- Nerve or blood vessel injury
- Deep vein thrombosis (DVT)
- Hardware-related irritation
- Under- or over-correction of deformity
- Pain relief and improved knee function
- Realignment of the joint to reduce pressure on the damaged area
- Preservation of the natural knee joint
- Delay or avoidance of knee replacement surgery
- Return to an active lifestyle for younger patients
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BLK-Max Super Speciality Hospital
Delhi, India
BLK-Max Super Speciality Hospital, located in New Delhi, is the leading best-in-class healthcare institution in India, providing tertiary and quaternary care. 650 + beds including 162 critical care beds, 22 OTs with 1,500+ clinical professionals allied to health are at the hospital's disposal. JCI, NABH, and NABL accredited. The hospitals are a leader in transplants, cancer care, and robotic surgery education and implementation. Established in1959 by Dr. B.L. Kapur, the hospital combines state-of-the-art technology with patient-centric values including compassion, efficiency, and consistency.
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Delhi, India
Indraprastha Apollo Hospital is known for delivering treatment to over 200,000 patients every year; 10,000 of which are generally medical tourists. The efficient team of doctors has the record of 99.6 percent success rate. Indraprastha Apollo Hospital deals in treatment of over 50 specialities.
Let’s see some of the features of the infrastructure:
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Max Super Speciality Hospital, Patparganj
Delhi, India
Max Super Speciality Hospital, Patparganj, a 400+ bed NABH-accredited facility under Balaji Medical and Diagnostic Research Centre, offers world-class care across 33+ specialties, including Cardiac Sciences, Oncology, Neurosciences, Orthopaedics, Obstetrics & Gynaecology, and Kidney Transplant. With 116 ICU beds, 14 HDU beds, 11 modular OTs, and an NABL-accredited Max Lab, the hospital ensures advanced, quality-driven care. Staffed by 510+ expert doctors and 770+ nurses, it’s India’s first AACI-accredited super speciality hospital and North & West India’s first QAI-accredited Advanced Brain Stroke Centre. Max Patparganj is a regional leader in complex surgeries, blending cutting-edge technology with compassionate, patient-centric healthcare.
Medeor Hospital
Delhi, India
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Infrastructure & Facilities:
- 24x7 Emergency, Diagnostics and Pharmacy services
- State of the art instruments
- Hi-tech ICUs
- Modular OTs
- High-end Medical Diagnostic Laboratories
- Highly Experienced Physicians & Surgeons
- Zero Bacteria Operation Theaters
- Modern Infrastructure Equipped with Advanced Facilities
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- Facilitation counter at International Airport, New Delhi
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Clear Medi Hospital, Karkardooma
Delhi, India
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IBS Hospital
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Infrastructure & facilities:
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- Several beds for the patients
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- Modular operation theatres
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- Automated Lab
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- Restaurant
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- Local transportation booking
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Manipal Hospital, Dwarka
Delhi, India
Manipal Hospital Dwarka is a leading multi-super speciality tertiary care hospital offering world-class, affordable, and accessible healthcare. Backed by renowned doctors, advanced technology, and global standards in clinical care, the hospital provides comprehensive preventive, diagnostic, and therapeutic services for all age groups. With 380 beds, 13 modular OTs, 118 critical care beds, and 24/7 emergency services, it combines excellence in patient care with innovations like AI, telemedicine, remote monitoring, and EMR—striving to become a fully digital, paperless hospital setting new standards in modern healthcare.
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+99Process Involved for High Tibial Osteotomy in Delhi
Treatment Stages for High Tibial Osteotomy are:-
- Initial Evaluation : The process starts with a detailed knee examination. Your doctor will check how well your knee moves, how stable it is, and whether there’s pain during motion or weight-bearing. Imaging, like X-rays or MRI, may be ordered to assess the condition of your bones and cartilage. This step helps confirm if HTO is the right approach, mainly when damage is unevenly distributed across the knee joint.
- Preoperative Preparation : Once HTO is considered appropriate, your medical team will walk you through essential preparations. This might include blood tests, cardiac evaluations, or stopping certain medications. You’ll also get detailed guidance on dietary changes, managing physical activity, and setting up your living space to make recovery safer and smoother.
- Surgical Process : During the operation, the surgeon carefully reshapes the upper part of your shinbone (tibia) by creating a wedge to shift pressure away from the damaged area. This realignment allows the healthier part of your knee to bear more weight. A stabilising plate or implant is then used to secure the new position and encourage proper healing.
- Immediate Post-Surgical Care : You’ll be closely monitored as your anaesthesia wears off after the surgery. Pain control, swelling management, and wound care are priorities during this stage. You might wear a knee brace and use crutches to avoid putting too much strain on your leg as healing begins.
- Physical Rehabilitation : Recovery involves structured physiotherapy, often starting within a few days. With professional guidance, you’ll gradually begin movements that reduce stiffness and build muscle strength. Over time, your exercises will evolve to improve balance, flexibility, and confidence in walking and climbing stairs.
- Ongoing Follow-Up and Recovery : Recovery doesn’t stop at the hospital. You’ll have scheduled appointments for imaging and clinical checks to ensure the bone is healing correctly. Based on your progress, your rehab plan may be fine-tuned. With time and consistent care, the goal is to help you return to your daily routine with less pain and better knee function.
The following conditions are treated in High Tibial Osteotomy:
- Medial Compartment OA : HTO is often recommended when the inner portion of the knee joint becomes worn out due to arthritis. It helps reduce pressure on the damaged side by shifting the body weight to the healthier part of the knee.
- Bowed Legs (Genu Varum) : When the legs curve outward at the knee, it puts extra strain on the inner side of the joint. HTO helps straighten the leg bones, creating better alignment and reducing joint stress.
- Localised Cartilage Damage : HTO can benefit patients with cartilage wear limited to one part of the knee. Correcting the alignment slows further damage and helps preserve healthy joint surfaces.
- Persistent Knee Pain Due to Poor Alignment : Some individuals experience chronic knee discomfort because of the localised body weight distribution. HTO addresses this by adjusting bone angles, which eases pain and improves movement.
- Early Joint Degeneration in Active Individuals : For younger or physically active patients with early signs of joint damage, HTO helps delay or avoid needing a full knee replacement by protecting the natural joint for longer.
- Post-Injury Joint Changes : Previous injuries, such as fractures or ligament damage, can lead to joint imbalance and discomfort. HTO helps restore proper alignment and relieve pressure caused by these changes.
- Eligibility Assessment : This surgery is usually advised for people with knee pain caused by uneven wear, mainly when arthritis affects only one side of the knee joint.
- Pre-Surgery Planning : Doctors will perform imaging tests and health evaluations. You'll also be given instructions on preparing for surgery and arranging support during recovery.
- Surgical Procedure : A small wedge of bone is removed or added to the upper shinbone to shift pressure away from the damaged side of the knee.
- Additional Corrections : During surgery, the doctor may smooth out rough cartilage or remove loose bone fragments to support better joint movement.
- Closure and Immobilisation : After the correction, the incision is closed and covered. A knee brace or crutches may keep weight off the joint while it heals.
- Post-Surgery Rehabilitation : Rehabilitation begins soon after surgery with light movements. Physical therapy is continued to restore strength, flexibility, and function over time.
- Arthroscopy
- Debridement
- Synovectomy
- Meniscectomy
- Osteoplasty
- Chondroplasty
- Ligamentoplasty
- Microfracture
Benefits of High Tibial Osteotomy include:
- Alleviates Knee Pain: Realigning the knee joint, HTO reduces stress on the damaged medial compartment, leading to significant pain relief for individuals with early-stage osteoarthritis.
- Enhances Joint Function: The procedure improves knee stability and function, enabling patients to perform daily activities such as walking and climbing stairs more easily.
- Improves Mobility: Correcting the knee's alignment enhances its range of motion, allowing for smoother and more comfortable movements.
- Delays Need for Knee Replacement: HTO can postpone or even eliminate the necessity for total knee replacement by preserving the patient's natural joint structure.
- Reduces Inflammation: The surgery helps lessen inflammation and swelling associated with osteoarthritis by decreasing abnormal pressure on the knee joint.
- Supports Active Lifestyles: HTO is particularly beneficial for younger, active individuals, allowing them to maintain their preferred level of physical activity without the limitations imposed by joint pain.
- Promotes Joint Preservation: As a joint-sparing procedure, HTO focuses on retaining the knee's natural anatomy, which is advantageous for long-term joint health.
The following are the treating team members for High Tibial Osteotomy:
- Orthopaedist
- Radiologist
- Anesthesiologist
- Physiotherapist
- Nurse
- Surgeon
- Technician
- Nutritionist
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