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High Tibial Osteotomy Cost in Gurgaon

Costs starts from USD6500 to USD9500
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Cost of High Tibial Osteotomy in Major cities of India

CityMinimum Cost (USD)Minimum Cost (INR)Maximum Cost (USD)Maximum Cost (INR)
AhmedabadUSD 5850500994USD 8550732222
BangaloreUSD 6500556660USD 9500813580
ChennaiUSD 6500556660USD 9500813580
DelhiUSD 6500556660USD 9500813580
FaridabadUSD 6500556660USD 9500813580
GhaziabadUSD 6500556660USD 9500813580
GurgaonUSD 6500556660USD 9500813580
GurugramUSD 6500556660USD 9500813580
HyderabadUSD 6500556660USD 9500813580
KochiUSD 6500556660USD 9500813580
KolkataUSD 6500556660USD 9500813580
MohaliUSD 5850500994USD 8550732222
MumbaiUSD 6500556660USD 9500813580
NoidaUSD 6500556660USD 9500813580
PanjimUSD 5850500994USD 8550732222

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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.

High tibial osteotomy (HTO) is performed to treat early-stage knee osteoarthritis, particularly when the damage is limited to one side (usually the inner/medial side) of the knee. In patients with a misaligned knee joint (bow-legged deformity), excessive pressure on one side accelerates cartilage wear. HTO involves cutting and realigning the tibia (shinbone) to shift body weight away from the damaged area to the healthier part of the knee joint.This joint-preserving surgery delays or avoids the need for total knee replacement, especially in younger, active individuals.

Consult an orthopaedic surgeon if you experience:
  • 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
HTO is often recommended when non-surgical treatments (medications, bracing, physiotherapy, injections) no longer provide relief.

Preoperative steps include:
  • 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
Patients are also advised to arrange for home mobility support after surgery.

There are two main surgical techniques:1. Opening Wedge Osteotomy:
  • 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.
2. Closing Wedge Osteotomy:
  • A wedge of bone is removed from the outer side of the tibia.
  • The remaining bone is closed and fixed with plates and screws.
Surgeons select the approach based on the individual's anatomy and type of deformity. The procedure is typically performed under general or spinal anaesthesia.

  • 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

Recovery after high tibial osteotomy involves using a brace and crutches in the initial days, with medications and ice to manage pain and swelling. From weeks 1 to 6, patients begin gradual weight-bearing and physiotherapy to regain motion. By weeks 6 to 12, focus shifts to strengthening and walking without support. Most individuals return to normal activities and low-impact sports within 3 to 6 months, depending on healing. Follow-up imaging ensures proper bone alignment, and in some cases, plate removal may be needed later for comfort.

High tibial osteotomy has a success rate of 80–90% in selected patients, especially those under 60 years of age with isolated compartmental arthritis. It offers long-lasting pain relief and functional improvement, with many patients avoiding or delaying knee replacement for 10 to 15 years or more.

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Explore Hospitals ( 5 )
High Tibial Osteotomy in Artemis Health Institute: Costs, Top Doctors, and Reviews

Gurgaon, India

3.3 ( 4 Reviews )
  • Joint Commission International, or JCI
  • National Accreditation Board for Hospitals & Healthcare Providers (NABH)

Artemis Hospital, established in 2007 in Gurgaon, India, is a 750+ bed, state-of-the-art multi-speciality hospital and the first in Gurgaon accredited by JCI and NABH. A flagship of the Apollo Tyres Group, it offers advanced care across cardiology, oncology, orthopaedics, neurology, and transplant medicine, supported by modern infrastructure and 60+ world-class operating theatres. Its Centres of Excellence span critical areas like heart, cancer, neurosciences, orthopaedics, and women & child care. Guided by values of Service, Compassion, and Integrity, Artemis combines innovation, technology, and affordability, making it a trusted international healthcare destination for comprehensive and compassionate patient care.

High Tibial Osteotomy in Medanta - The Medicity: Costs, Top Doctors, and Reviews

Gurgaon, India

3.4 ( 1 Reviews )
  • Joint Commission International, or JCI
  • National Accreditation Board for Hospitals & Healthcare Providers (NABH)

Medanta – The Medicity, Gurugram, founded by renowned cardiac surgeon Dr. Naresh Trehan, is a leading multi-super speciality hospital offering advanced yet affordable healthcare. Spread across a 43-acre campus, it houses 1,391 beds, 270 ICU beds, 40 operation theatres, and 900+ doctors across 30+ specialities. Accredited by JCI, NABH, and NABL, Medanta is designed per American Institute of Architects’ healthcare guidelines. Recognised as the Best Private Hospital in India (2020–2025) and among the World’s Top 250 Hospitals (Newsweek 2024), it excels in Cardiac Care, Cancer, Neurosciences, Gastro, Orthopaedics, and Renal Care, ensuring world-class, collaborative, and compassionate treatment.

High Tibial Osteotomy in Max Hospital, Gurgaon: Costs, Top Doctors, and Reviews

Gurgaon, India

  • ISO 9001
  • National Accreditation Board for Hospitals & Healthcare Providers (NABH)
  • Max Hospital Gurugram is a leading multi-speciality healthcare centre in Haryana, renowned for its advanced clinical expertise and patient-focused care.
  • Established in 2007, it is part of the trusted Max Healthcare network and has treated over 500,000 patients across 35+ specialities.
  • The hospital is equipped with modern medical technology, internationally trained doctors, and superior clinical infrastructure.
  • Known for its excellence in Cardiology, Oncology, Neurosciences, Orthopaedics, Gastroenterology, and Women & Child Care, Max Hospital is a preferred choice for both domestic and international patients seeking high-quality treatment with compassionate care.
High Tibial Osteotomy in VPS Rockland Hospital: Costs, Top Doctors, and Reviews

Gurgaon, India

  • National Accreditation Board for Hospitals & Healthcare Providers (NABH)
  • National Accreditation Board for Testing and Calibration Laboratories (NABL)

VPS Rockland Hospital located in Gurugram, India is accredited by NABH, NABL. Also listed below are some of the most prominent infrastructural details:

  • Well-designed compact 103-bed hospital expanding over120,000 square feet
  • Well equipped modular operation theatres, intensive care unit, interventional Cath lab, and in-patient rooms ranging from economy to luxury
  • Offers a bouquet of services like Internal Medicine, Obstetrics & Gynaecology, Surgery, Pediatrics
  • High-end diagnostic services like 1.5 T MRI and 128 slice CT Scan
  • Advanced non-invasive assessment with echo & TMT machines
  • State of the art cardiac Cath-Lab
  • Appointment Scheduling
  • Treatment packages
  • Accommodation arrangement for the accompanying attendant
  • Customized diet for patient and attendant
  • Laundry services
  • Prayer room
  • Visa assistance
  • Pick and drop facility from/to the Airport
  • Foreign exchange facility
  • Registration with the Foreigners Regional Registration Office
  • Dedicated Neuro-Intensive care unit managed by expert intensivists
  • Accommodation arrangements post discharge
  • Highly advanced instruments for deep brain stimulation, stereotaxy, micro-neurosurgery, pediatric neurosurgery & neurophysiology
  • Most advanced dialysis machines and advanced diagnostic and therapeutic facilities
  • Renal replacement therapy for hemo-dynamically unstable patient
  • Technologically advanced endoscopy suite
  • Wi-Fi/internet service in the room
  • Travel arrangement for patient & attendant post discharge
  • Tele-consults post discharge
  • Dialysis beds
  • 24x7 ‘Trauma & Emergency Center
  • Dedicated blood bank
  • 24x7 comprehensive patient care.
  • Deployed high-end technologies & smart digital system
  • Robust Hospital Information Systems to meet complex medical needs of patients
  • Robotic-assisted surgeries
  • International Patients Lounge
High Tibial Osteotomy in Manipal Hospital, Gurugram: Costs, Top Doctors, and Reviews

Gurgaon, India

  • National Accreditation Board for Testing and Calibration Laboratories (NABL)
  • National Accreditation Board for Hospitals & Healthcare Providers (NABH)

Manipal Hospital, Gurgaon, which used to be Columbia Asia Hospital, is a 100-bed, multispecialty facility that was established in 2008. It is recognized by NABH, and offers complete care in six specialties: neurology, cardiology, oncology, gynecology, orthopedics, and psychiatry. By bringing together modern infrastructure, sophisticated technology, and a team of qualified medical and nursing staff as a part of its value system, the hospital emphasizes ethics and high-quality, affordable healthcare. The hospital maintains an integrated and collaborative framework, and is able to provide 24/7 emergency services and critical care, to achieve the best possible outcomes, with patient satisfaction and treatment as a whole being a fundamental feature of the service.

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Process Involved for High Tibial Osteotomy in Gurgaon

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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Frequently Asked Questions

Factors that raise the risk of High Tibial Osteotomy:

  • Delayed diagnosis (public hospital wait times)
  • Manual labour (construction, agriculture)
  • Limited physiotherapy (rural & semi-urban)
  • High diabetes prevalence

The success rate for High Tibial Osteotomy in India is around 80 - 85%. Variability exists due to differences in access to surgical expertise and physiotherapy, especially between urban and rural areas. However, outcomes are favourable with timely intervention and quality post-op care.

In India, renowned centres such as Apollo Hospitals, Fortis Healthcare, and Artemis Health Institute Gurgaon are highly experienced in High Tibial Osteotomy procedures. These hospitals offer cutting-edge diagnostics, skilled orthopaedic surgeons, and multidisciplinary rehabilitation services for joint preservation.

Post-operative care in India often includes partial weight-bearing with crutches or walkers for 4–8 weeks, depending on the surgical technique. Patients are advised to follow structured physiotherapy, avoid squatting or cross-legged sitting initially, and monitor blood sugar levels closely to prevent wound complications in diabetic individuals.

Author

Alvina Hasan

M.Pharm

1 Year of Experience

Alvina Hasan is a dedicated medical researcher and scientific writer with a strong foundation in the pharmaceutical sciences. She holds a B.Pharm from Jamia Hamdard University and an M.Pharm in Quality Assurance from DIPSAR University. With deep medical expertise and a strong interest in healthcare communication, she focuses on transforming complex clinical and scientific information into clear, engaging, and easy-to-understand narratives. She develops insightful healthcare articles and research-driven pieces designed to support both medical professionals and patients, helping bridge the gap between advanced medical knowledge and practical understanding. . View More

Reviewer

Dr. Manoj Miglani

Orthopedic Surgeon

22 Years of Experience

Known for his soft-spoken nature, Dr. Manon Miglani had completed his MBBS from Maulana Azad Medical College and MS (Ortho) for All India Institute of Medical Sciences. Dr. Miglani was awarded AO spine fellowship from Queen’s Medical Center, Nottingham and he also received Stryker fellowship in Arthroplasty from Indraprastha Apollo Hospital. Dr. Manon Miglani has provided his expert services to various hospitals of Delhi and NCR including AIIMS, Indraprastha Apollo, Jaipur Golden hospital, and Artemis hospital Presently, Dr. Manon is the additional director of Fortis, Vasant Kunj and senior consultant at Fortis, Shalimar Bagh. View More