Corrective osteotomy of the knee joint

Corrective knee osteotomy is a modern surgical procedure that can significantly reduce or eliminate pain caused by knee osteoarthritis. It involves correction of the mechanical axis of the leg and redistribution of the load from the affected area of the joint to the healthier compartment. It is an effective alternative to joint replacement, allowing postponement of endoprosthesis for 10–20 years.
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Osteotomy is an effective and safe technique widely used in modern orthopedics. It is recommended for patients with localized cartilage damage, mainly in the medial or lateral compartment of the knee. This approach allows preservation of the native joint and minimizes potential complications.

What is corrective osteotomy?

 Corrective osteotomy is a surgical procedure in which the surgeon performs a controlled osteotomy (bone cut) of the femur or tibia to change its alignment and restore the mechanical axis of the limb. As a result, the load on the damaged part of the knee is reduced, which decreases pain and slows the progression of osteoarthritis.
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Although the procedure involves cutting the bone, its effectiveness and safety have been confirmed by extensive clinical experience worldwide. Timely osteotomy helps preserve quality of life, prevent disability, and delay the need for joint replacement.

When this knee surgery is indicated: diseases and pathologies

Knee osteotomy  is indicated for patients with partial cartilage damage. It is most commonly used in medial or lateral compartment osteoarthritis when part of the joint remains functional.

Most often, the procedure is indicated for:

• Varus deformity (O-shaped legs) with damage to the medial knee compartment ;
• Valgus deformity (X-shaped legs) with damage to the lateral joint compartment;
• Post-traumatic deformities and improper bone healing after fractures;
• Deforming osteoarthritis (grades 1–3), when joint preservation is still possible.

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The main goal is to redistribute the axial load in such a way as to offload the affected compartment and transfer it to the healthier part of the joint.

Cases in which corrective osteotomy is contraindicated

The procedure has standard contraindications in orthopedic practice, including:

•  severe osteoporosis;
•  active phase of inflammatory rheumatic diseases;
•  severe coagulation disorders;
•  decompensated cardiovascular or pulmonary diseases;
•  poor overall condition of the patient.

The decision to perform surgery is always made individually, taking into account risks and expected outcomes. In some cases, even with relative contraindications, osteotomy may significantly improve the patient’s condition and delay the need for more extensive surgical interventions.

Types of corrective knee osteotomy

Corrective osteotomy restores proper limb alignment and reduces load on the affected compartment.

Mashtaler Ortho & Trauma Clinic performs corrective osteotomy in Lviv using the following techniques:

• Proximal tibial osteotomy — used when the deformity originates in the tibia;
• Distal femoral osteotomy — used when the deformity originates in the femur.

Both techniques allow restoration of limb alignment, reduction of localized load, and stabilization of the joint. They are especially suitable for younger patients who wish to delay joint replacement surgery.

How is the operation performed?

 Corrective osteotomy is performed under general or regional anesthesia and typically lasts 1.5–2 hours. The surgeon makes an incision in the area of the tibia or femur, then performs a precise bone cut. After correcting the alignment, the bone fragments are fixed using orthopedic plates and screws that ensure stability and proper positioning. Intraoperative X-ray imaging is used to verify accuracy.
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In certain cases, the procedure is combined with knee arthroscopy. This minimally invasive technique allows insertion of a camera and instruments through small incisions. Arthroscopy is highly effective for treating concomitant conditions such as cartilage lesions and meniscal tears during the same procedure.
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After completion, the wound is sutured. In most cases, external immobilization of the limb is not required.

Recommended recovery after osteotomy

Rehabilitation is a key stage that determines the duration and effectiveness of treatment. Full recovery after corrective knee osteotomy typically takes 6–12 months. During the first weeks after surgery, the patient uses crutches without weight-bearing on the operated limb.

Comprehensive rehabilitation at Mashtaler Ortho & Trauma Clinic includes:

• Physical therapy — individually tailored exercises to strengthen muscles, improve flexibility, and stabilize the knee joint;
• Physiotherapeutical procedures — including high-intensity laser therapy to reduce inflammation and accelerate tissue healing;
• Injection techniques — PRP, BMAC, and Lipogems. These advanced approaches stimulate the body’s natural regenerative processes in the joint.

In some cases, removal of fixation hardware may be recommended 12–24 months after surgery; however, many patients live comfortably with the implants without the need for removal.

Benefits of Corrective Osteotomy at Mashtaler Ortho & Trauma

1. Comprehensive approach. We support patients throughout the entire treatment process — from initial consultation and diagnosis to surgery and rehabilitation.
2. Modern technologies. We use arthroscopic assistance, reliable implants, and advanced injectable therapies to achieve optimal results.
3. Experienced specialists. Our doctors continuously improve their skills and adopt the latest treatment techniques, enabling them to perform procedures of any complexity.
4. Comfort and support. Patients stay in comfortable wards under 24/7 medical supervision. We perform surgeries under safe conditions using modern anesthesia techniques. Each patient receives personalized treatment and rehabilitation recommendations.

The price of corrective osteotomy in our clinic

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(The price of corrective osteotomy is determined individually. It depends on the indications, the patient’s current health status, the degree of lower limb deformity, and the chosen surgical technique. You can view approximate prices on this page or schedule a consultation for an accurate cost estimate.)

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