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Cost of High Tibial Osteotomy in Major cities of Turkey
| City | Minimum Cost (USD) | Minimum Cost (TRY) | Maximum Cost (USD) | Maximum Cost (TRY) |
|---|---|---|---|---|
| Ankara | USD 6500 | 253890 | USD 12000 | 468720 |
| Antalya | USD 6500 | 253890 | USD 12000 | 468720 |
| Bursa | USD 6500 | 253890 | USD 12000 | 468720 |
| Canakkale | USD 5850 | 228501 | USD 10800 | 421848 |
| Elazig | USD 5850 | 228501 | USD 10800 | 421848 |
| Istanbul | USD 6500 | 253890 | USD 12000 | 468720 |
| Izmir | USD 6500 | 253890 | USD 12000 | 468720 |
| Kocaeli | USD 6500 | 253890 | USD 12000 | 468720 |
| Konya | USD 6500 | 253890 | USD 12000 | 468720 |
| Ordu | USD 6500 | 253890 | USD 12000 | 468720 |
| Samsun | USD 6500 | 253890 | USD 12000 | 468720 |
| Sivas | USD 5850 | 228501 | USD 10800 | 421848 |
| Tokat | USD 5850 | 228501 | USD 10800 | 421848 |
| Trabzon | USD 5850 | 228501 | USD 10800 | 421848 |
| Usak | USD 5850 | 228501 | USD 10800 | 421848 |
| Zonguldak | USD 5850 | 228501 | USD 10800 | 421848 |
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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
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
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.
- 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
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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Get Help Explore Hospitals ( 30 )
Istinye University Bahcesehir - LIV Hospital
Istanbul, Turkey
Apart from in-detail treatment procedures available, Istinye University Bahcesehir - LIV Hospital located in Istanbul, Turkey has a wide variety of facilities available for International Patients. Some of the facilities which are provided by them are Accommodation, Airport Transfer, Choice of Meals, Interpreter, TV inside room. Also listed below are some of the most prominent infrastructural details:
- A 21-storey Hospital covers 62,500 sqm with ability to handle any emergency situation
- Equipped with 300+ beds, 10 palliative care beds and 12 operating rooms
- 30 Observation Rooms, which are convertible to Intensive Care Rooms in the need hour
- Emergency Department with Emergency specialists
- 64 Specialities Professional Centers like Organ Transplantation Center, Vascular Health Center, Spine Health Center, Check-up Center, etc.
- IVF center
- Pain Clinic
- Stroke Center/Unit
- Pediatric Intensive Care Unit
- International Guest Department
- In an emergency transfer of patients via air, the hospital also has an air ambulance facility
Medical Park Goztepe Hospital
Istanbul, Turkey
Medical Park Goztepe Hospital located in Istanbul, Turkey is accredited by JCI. Also listed below are some of the most prominent infrastructural details:
- Capacity of 293 beds
- 9 Operating theatres
- 64 intensive care beds
- Emergency Department
- Chemotherapy Unit
- Well-equipped rooms, designed to maximize exposure to day light and service approach is based on boutique hotel business
- Cafeteria/Restaurant
- Technology Advancement- 64-slice Computerized Tomography, high level Magnetic Resonance Imaging (MRI) scanner, Tomography scanner, Digital Mammography, Digital X-ray scanner, Ultrasound and Color Doppler, Digital and Peripheral Angiography and 4D Ultrasound device
Baskent University Istanbul Hospital
Istanbul, Turkey
Baskent University Istanbul Hospital located in Istanbul, Turkey is accredited by ISO. Also listed below are some of the most prominent infrastructural details:
- 13.000 square meters indoor area
- Aesthetically designed Inpatient rooms
- Latest healthcare equipments
- 105 bed capacity
- 5 operating rooms
- 38 bed capacity in the Intensive Care Unit
- 609 healthcare personnel and healthcare professors
- Translation services for International patients
Memorial Atasehir Hospital
Istanbul, Turkey
Memorial Atasehir Hospital located in Istanbul, Turkey is accredited by JCI. Also listed below are some of the most prominent infrastructural details:
- Covers an area of 22,000 sqm in the Anatolian side of Istanbul
- The Hospital has comfortable patient rooms, designed while considering all the required needs of the patients
- Capacity of 144 beds
- Intensive Care Unit
- Emergency Department
Medicana Bahcelievler Hospital
Istanbul, Turkey
0.5 ( 1 Reviews )
Medicana Bahcelievler Hospital located in Istanbul, Turkey is accredited by ISO, JCI. Also listed below are some of the most prominent infrastructural details:
- Capacity of 89 beds
- 6 Operating Rooms
- 2 Delivery Rooms
- Coronary Intensive Care Unit
- General Intensive Care Unit
- Neonatal Intensive Care Unit
- Dialysis Unit with 30 beds
Acibadem Bakirkoy Hospital
Istanbul, Turkey
Acibadem Bakirkoy Hospital located in Istanbul, Turkey is accredited by JCI. Also listed below are some of the most prominent infrastructural details:
- This hospital has as many as 102 beds with intensive care beds (27), operating theatres (7).
- There is also one heliport in the hospital that is used for the purpose of emergency transfer within the hospital.
- The operating theatres as well as inpatient facilities have been upgraded vis. a vis. technology and infrastructure in the year 2008 and 2009 and both outpatient as well as inpatient were upgraded as recently as in the year 2017.
- A very well developed Neonatal Intensive care unit.
- Some popular specialties and departments of Acibadem Bakirkoy Hospital, Istanbul, Turkey are Cardiology, Dermatology, Endocrinology, Family medicine, Gastroenterology, Nephrology, Neurology and Oncology.
Acibadem Hospital Taksim
Istanbul, Turkey
0.5 ( 1 Reviews )
Acibadem Hospital Taksim located in Istanbul, Turkey is accredited by JCI. Also listed below are some of the most prominent infrastructural details:
- With 93 beds, 6 operating theatres, Acibadem Hospital, Taksim, Istanbul, Turkey is a well equipped healthcare facility.
- It has exceptional infrastructure which is at par with the best in the world.
- The ICU of this hospital comprises 10 beds, which is inclusive of isolation room beds (2).
- Also, when we talk of Neonatal ICU, it consists of 7 beds inclusive of an isolation room bed.
- Robot-assisted Surgery and Radiology departments are a sign of the technological advancement in the hospital.
- The Physical Medicine and Rehabilitation department ensures a seamless transition through the recovery period.
Acibadem Maslak Hospital
Istanbul, Turkey
Acibadem Maslak Hospital located in Istanbul, Turkey is accredited by JCI. Also listed below are some of the most prominent infrastructural details:
- Beds are 210 in number including 27 intensive care beds with 15 sterile operation rooms, and 9 advanced-level rooms
- Smart building technology of the hospital
- Number of doctors in this hospital are 170.
- Thyroid Clinic, Stroke Center, Obesity Clinic, Reproductive Health Center, and a fully equipped radiotherapy center are all the additional facilities present in the Acibadem Maslak Hospital, Istanbul, Turkey.
- There is also a seamlessly operating International Patient Center which enables functions like registrations, orientations, admissions, presenting medical information to International patients, appointments, visa, travel, transfer and accomodation arrangements.
- Translation and interpreter services are available as is multilingual staff.
- The hospital has moved with the times and all its systems are electronically upgraded.
Acibadem Fulya Hospital
Istanbul, Turkey
Acibadem Fulya Hospital located in Istanbul, Turkey is accredited by JCI. Also listed below are some of the most prominent infrastructural details:
- The hospital has cutting edge infrastructure and all latest amenities.
- Equipment like Whole body MR scanner, 4D Ultrasound system for Breast Cancer screening, 3D Imaging and Navigation System for Prostate Biopsy, Posturography (Balance) Device, and EBUS.
- Everything that makes healthcare delivery a 360* process is present in Acibadem Fulya Hospital, Istanbul, Turkey like diagnostic services, insurance, language interpretation services, travel and lodging arrangements.
- Clinic Laboratory, Dialysis, Gastrointestinal Endoscopy Laboratory, Pulmonary Function Laboratory, Radiology and Sleep Laboratory are also present.
- Intensive Care Units (ICU) are also available in the Acibadem Fulya Hospital, Istanbul, Turkey.
- There are many popular specialties and departments present in Acibadem Fulya Hospital, Istanbul, Turkey, which is a multidisciplinary healthcare organisation. Some are Cardiology, Neurology, Cardiology, Cardiovascular Surgery, Dermatology, Ear, Nose and Throat (Otolaryngology) etc.
Medipol Mega University Hospital
Istanbul, Turkey
Medipol Mega University Hospital located in Istanbul, Turkey is accredited by JCI. Also listed below are some of the most prominent infrastructural details:
- The Hospital includes 4 centers i.e. general surgery, cardiovascular surgery, oncology, and dentistry
- Medipol patients have access to over 60,000 m2 of the gardens, 26,000 m2 of the five-storied underground parking, 100,000 m2 covered premises and 1,500 members of the stuff
- Capacity of 470 patient beds
- Oncology Center
- Emergency department that can admit up to 134 patients (including general, coronary, KVC and neonatal emergency department)
- 25 Operating rooms
- Medipol Mega University Hospital uses the following innovative technologies- Biplane digital flat-panel angiographic system, Digital flat-panel tomosynthetic mammography, Surgical O-ARM PEROP CT Imaging system, etc.
- Helicopters enabling the transfer of the patient at the most emergency cases
- The Hospital creates a friendly & comfortable ambience for the patients and their relatives with terrace garden suites, normal rooms. Each room is equipped with multimedia services like TV, DVD, Internet, online access from patients bedside, Unlimited Digital Archive pacs and high-quality meal service
- Prayer Room
- 5-starred cafeteria/restaurant
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+99Process Involved for High Tibial Osteotomy in Istanbul
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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