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High Tibial Osteotomy (resection) in Thailand usually costs between USD 8500 - USD 16000.
The expense may include expert consultations, diagnostic examinations, surgery, inpatient treatment, anaesthesia, and initial post-operative care. Further costs may be incurred due to prosthesis, medicines, physiotherapy, subsequent appointments, and rehabilitation.
| City | Cost (USD) | |
|---|---|---|
| Bangkok | $8,500 – $16,000 | Explore More |
| Krabi | $7,650 – $14,400 | Explore More |
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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:
HTO is often recommended when non-surgical treatments (medications, bracing, physiotherapy, injections) no longer provide relief.
Preoperative steps include:
Patients are also advised to arrange for home mobility support after surgery.
There are two main surgical techniques:
1. Opening Wedge Osteotomy:
2. Closing Wedge Osteotomy:
Surgeons select the approach based on the individual's anatomy and type of deformity. The procedure is typically performed under general or spinal anaesthesia.
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\u201390% 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.
85-95%
Pain relief, improved knee function, and delayed progression of osteoarthritis6-8 weeks
Initial bone healing with gradual progression to full weight-bearing4-6 months
Typical return to normal daily activities; return to high-impact sports may take
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Treatment Stages for High Tibial Osteotomy are:-
The following conditions are treated in High Tibial Osteotomy:
Benefits of High Tibial Osteotomy include:
The following are the treating team members for High Tibial Osteotomy:
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