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| City | Minimum Cost (USD) | Minimum Cost (AED) | Maximum Cost (USD) | Maximum Cost (AED) |
|---|---|---|---|---|
| Abu Dhabi | USD 12000 | 44040 | USD 22000 | 80740 |
| Dubai | USD 12000 | 44040 | USD 22000 | 80740 |
| Sharjah | USD 12000 | 44040 | USD 22000 | 80740 |
| City | Cost (USD) | |
|---|---|---|
| Abu Dhabi | $12,000 – $22,000 | Explore More |
| Dubai | $12,000 – $22,000 | Explore More |
| Sharjah | $12,000 – $22,000 | 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 takeDubai, United Arab Emirates
Dubai, United Arab Emirates
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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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Factors that raise the risk of High Tibial Osteotomy:
In the UAE, the success rate of high tibial osteotomy ranges from 85% to 90%. It is supported by modern hospitals, advanced surgical techniques, and accessible rehabilitation services for most insured patients. Compliance with rehab plans is crucial to long-term results.
Cleveland Clinic Abu Dhabi and Mediclinic City Hospital (Dubai) in the UAE provide state-of-the-art orthopaedic services, including High Tibial Osteotomy. These centres are known for using advanced imaging, precision alignment tools, and structured post-op physiotherapy, especially for younger, active patients with knee osteoarthritis.
In the UAE, recovery involves supervised physiotherapy programs, knee braces, and temporary work modifications to avoid strain. Patients are encouraged to follow anti-inflammatory diets and avoid activities like driving, stair climbing, or kneeling until cleared by their orthopaedic surgeon.
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