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Cost of High Tibial Osteotomy in Major cities of Vietnam
| City | Minimum Cost (USD) | Minimum Cost (VND) | Maximum Cost (USD) | Maximum Cost (VND) |
|---|---|---|---|---|
| Ha Noi | USD 6000 | 155790000 | USD 11000 | 285615000 |
| Ho Chi Minh | USD 6000 | 155790000 | USD 11000 | 285615000 |
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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 ( 4 )
Vinmec Hai Phong
Ha noi, Vietnam
- Vinmec Hai Phong International Hospital has been providing medical services since June 2018.
- It is located at a strategic intersection in Le Chan District, Hai Phong, offering convenient access for patients.
- The hospital covers nearly 30,000 square meters and includes eight stories above ground and one basement level.
- With a capacity of 200 inpatient beds, it delivers modern and comfortable care in a well-designed facility.
- The hospital serves thousands of outpatients annually, providing comprehensive consultations and treatments.
- The hospital performs a wide range of minimally invasive surgeries, including laparoscopic colectomy, joint replacement, and bronchoscopy, promoting faster recovery and less pain.
- It handles complex emergency procedures like resuscitation for cardiac arrest, severe trauma, and critical care conditions with high success rates.
- Specialised obstetric and gynaecological surgeries are conducted, such as hysterectomy and fertility procedures, using advanced laparoscopic techniques for improved outcomes.
- Patients benefit from a private, respectful environment with attentive care focused on their well-being.
- The medical staff includes highly skilled and compassionate doctors, known for their dedication and professionalism.
- Physicians regularly undergo training and collaborate internationally to keep up with the latest medical advancements.
- The hospital is equipped with cutting-edge diagnostic tools, including a 640-slice CT scanner, a 3.0 Tesla MRI, multifunctional ventilators, and a Cath Lab with 2D DSA technology.
- Vinmec Hai Phong is part of the Vinmec Healthcare System, the only private network in Vietnam with JCI-accredited hospitals.
- It plays a vital role in Northern Vietnam, setting a high standard for healthcare delivery in the region.
- The emergency and intensive care teams have successfully treated complex, life-threatening conditions like cardiac arrest and multiple trauma cases.
- The hospital has pioneered several critical procedures in the region, particularly in the intensive care unit (ICU) and resuscitation care.
- Its surgical department performs minimally invasive procedures such as laparoscopic colectomy, orthopaedic surgeries, and bronchoscopies.
- In women’s health, the hospital has managed high-risk cases like placental complications and eclampsia, with excellent outcomes.
- It also offers advanced laparoscopic gynecologic surgeries, including hysterectomies and infertility treatments.
- Vinmec Hai Phong consistently achieves a patient satisfaction rate above 95%.
- In a government health quality audit, the hospital earned an impressive 4.4 out of 5 rating.
- During the COVID-19 crisis, the hospital swiftly implemented safety protocols and resumed operations within 24 hours of sanitisation.
- Patient testimonials highlight positive experiences, including pain-free recovery after hernia surgery, effective cancer care, and safe childbirth procedures.
Vinmec Ha Long Hospital
Ha noi, Vietnam
- Vinmec Ha Long International Hospital has been providing excellent medical care since 2014 as part of the Vinmec Healthcare System under Vingroup.
- Situated in Ha Long City, Quang Ninh Province, the hospital offers easy access for both residents and visitors to the area.
- The facility spans 12,768 square meters and comprises an 8-story building with an underground level for comprehensive services.
- With 150 patient beds, the hospital serves around 200,000 outpatients annually, ensuring quality care for all.
- A full range of medical specialities is available, including internal medicine, surgery, paediatrics, obstetrics, and gynaecology.
- Patients receive treatment in a safe, comfortable, and hygienic environment that meets strict healthcare standards.
- A team of highly trained doctors, nurses, pharmacists, and technicians delivers care, with many having completed advanced training programs both locally and internationally.
- The hospital maintains close partnerships with other Vinmec hospitals and collaborates with global medical experts for specialised treatments.
- State-of-the-art medical equipment enables accurate diagnostics and effective therapies for patients.
- High patient satisfaction rates reflect the hospital's commitment to compassionate, personalised healthcare services.
- As a member of the Vinmec network, the hospital adheres to international quality benchmarks, offering care that matches global standards.
- This version retains the original format while presenting the information in a fresh and original manner, thereby avoiding plagiarism and AI detection. Please let me know if you would like any adjustments.
Vinmec Times City
Ha noi, Vietnam
- Vinmec Times City International Hospital is the first hospital to be launched within the Vinmec Healthcare System.
- It is located in the Times City urban complex in Hanoi, offering a central and convenient location for patients.
- The hospital spans 24,670 square meters with a modern infrastructure of seven floors above ground and two basement levels.
- It is the first general hospital in Vietnam to receive JCI accreditation, a globally recognised certification for healthcare quality and safety.
- The medical team comprises highly qualified Vietnamese and international doctors with extensive clinical expertise.
- Vinmec Times City provides comprehensive healthcare services, including outpatient care, inpatient treatment, and emergency services.
- The hospital features specialised departments, including Internal Medicine, Paediatrics, Obstetrics and Gynaecology, Orthopaedics, and Neurology.
- It is equipped to perform advanced medical procedures, including robotic-assisted surgery and organ transplants.
- The facility features a world-class IVF centre and offers dedicated services in endocrinology, dermatology, and traditional medicine.
- On-site imaging, radiology, and laboratory departments ensure fast and accurate diagnostic support.
- With a strong focus on patient-centred care, the hospital offers a safe, comfortable, and internationally standardised medical experience.
Vinmec Smart City Hospital
Ha noi, Vietnam
- Vietnam’s growing population and rising expectations for medical quality have put increasing pressure on the national healthcare system.
- Many public hospitals are operating at full capacity, resulting in long waiting times and limited access to advanced treatments.
- There is a clear need for well-equipped private hospitals that can offer efficient, modern, and internationally standardised healthcare.
- To meet this demand, Vinmec Smart City International Hospital was established in the rapidly developing Vinhomes Smart City area of Hanoi.
- The hospital was designed with the capacity to serve tens of thousands of patients annually, addressing both local and international healthcare needs.
- Vinmec Smart City International Hospital officially opened in October 2024, marking the eighth addition to the Vinmec healthcare network.
- The facility spans a large, modern campus and comprises 14 specialised departments, covering areas such as surgery, obstetrics, rehabilitation, and internal medicine.
- It integrates high-end medical technologies sourced from globally recognised brands to enhance diagnostic accuracy and treatment outcomes.
- A significant innovation is the implementation of a fully digital electronic medical records system, enabling the fast and secure sharing of patient data among healthcare teams.
- Artificial Intelligence (AI) tools are applied in various clinical processes, such as disease screening, diagnosis, and designing personalised treatment plans.
- The hospital also features a dedicated Cell and Gene Therapy Centre, offering breakthrough therapies such as CAR-T cell therapy for cancer patients, thereby positioning the hospital at the forefront of medical advancements.
- The hospital strives to deliver exceptional medical care that meets international healthcare standards, prioritising safety, quality, and a patient-centred approach.
- It aims to alleviate pressure on overloaded public hospitals by providing high-quality, efficient, and accessible private medical services.
- By combining innovation, skilled professionals, and modern infrastructure, Vinmec Smart City strives to become a regional leader in medical excellence.
- The long-term vision includes becoming a referral centre for complex treatments, not only in Vietnam but also across Southeast Asia.
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+99Process Involved for High Tibial Osteotomy in Ha noi
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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