What is tibial rotational osteotomy?

Tibial derotation and osteotomy surgery involves cracking and then rotating the tibia (shin bone) and the fibula (smaller bone in lower leg) to correct its alignment. The bone is then fixed in its correct position using pins or screws.

What is a high tibial osteotomy procedure?

A high tibial osteotomy is a surgical procedure that realigns the knee joint. For some patients who have knee arthritis, this surgery can delay or prevent the need for a partial or total knee replacement by preserving damaged joint tissue.

What is a rotational osteotomy?

Rotational osteotomies attain femoral head coverage by cutting one to three of the pelvic bones, with the acetabulum being rotated on the intact structures. These osteotomies cover the femoral head with acetabular cartilage, and they intuitively are the first choice for femoral head coverage procedures.

How do you fix a tibial rotation?

If your child has severe tibial torsion that does not improve as they grow, their doctor may recommend a surgical procedure called an osteotomy. For this procedure, the surgeon cuts the tibia bone to correct the rotation. Sometimes the fibula bone needs to be corrected as well.

How do you fix a tibial torsion?

The surgery to correct internal tibial torsion is called tibial derotational osteotomy. During this procedure, the tibia is cut, rotated and fixed in a straighter position. Following surgery, casting will be required to allow for healing of the bone.

How is tibial osteotomy?

During a tibial osteotomy, the surgeon removes a wedge-shaped portion of the shin bone (tibia) to help compensate for a deformity in the knee joint. This deformity can cause the knee’s protective cartilage to wear on one side more than the other. This usually happens on the inside (medial side) of the knee.

What are the types of osteotomy?

The two main types of osteotomy are opening wedge and closing wedge. During a closing wedge osteotomy knee surgery, the surgeon cuts a wedge of bone from the leg and brings the sides of the opening together to close the space. In some cases, the surgeon opens up a section of bone, rather than closing the bone.

Is HTO surgery painful?

But for most of you, it is not as painful as you expect. Most people are up and moving around very quickly. The bone is stabilized with a plate and screws so you will not feel the bones moving. Most of you will be able to start putting weight on your leg the same day as the surgery.

What is an osteotomy of the knee?

The procedure involves removing or adding a wedge of bone to your shinbone (tibia) or thighbone (femur) to help shift your body weight off the damaged portion of your knee joint. Knee osteotomy is most commonly performed on people who are younger than 60 who are active.

How is tibial derotation and osteotomy surgery performed?

Tibial derotation and osteotomy surgery is performed under general anaesthesia. The surgeon firstly makes a small stab-like incision just above the ankle. Tibial derotation and osteotomy surgery involves intentionally cracking the tibia (shin bone) and the fibula (smaller bone in lower leg) usually just above the ankle.

How can physiotherapy help my child after tibial derotation and osteotomy surgery?

Following tibial derotation and osteotomy surgery it is imperative to undergo a comprehensive and prolonged course of physiotherapy to maximise the success of the procedure and to help ensure the correction of function in the lower legs in the future. Physiotherapy is recommended before your child undergoes tibial derotation and osteotomy surgery.

Do children with lower leg rotational abnormalities require corrective derotation osteotomy?

Despite a tendency for rotational abnormalities of the lower leg in children to improve spontaneously over time, some fail to correct and require corrective derotation osteotomy. In this retrospective study, we report the technique and results of the distal transverse tibial and fibular derotation o …

What is tibial torsion and how is it treated?

Tibial torsion rarely causes any pain but may cause problems later on in life such as arthritis. In many cases the problem corrects itself over time, but where correction doesn’t occur, tibial derotation and osteotomy surgery is required. Tibial derotation and osteotomy surgery is performed under general anaesthesia.