Recuperation and rehabilitation after knee osteotomy is usually straightforward.
The rehabilitation programme will change as you progress from hospital bed to full recovery.
Like all operations prospective patients do not really know quite what to expect in the first months after osteotomy. Here are two examples of people who also had concerns about their osteotomy and the pictures give a good indication of the fact that you can walk well after the surgery and often quite quickly.
This photo is of a man who I reviewed recently in outpatients when he was 12 weeks after an osteotomy on his right side (left on the photo) and already extremely happy with his walking.
Previously he had ACL surgery on both sides, and he is a good example of someone who damaged his knee and had his ACL done but because of all the secondary damage his right knee was in valgus and he had to have an osteotomy on that side for the lateral compartment problem. So I went ahead with the osteotomy and put the right knee into varus.
The second photo was taken twelve weeks after osteotomy
These are the two X-rays showing the femur with the plate in position from the front (left image) and the side (right image).
After the osteotomy, he was on crutches for six weeks protecting it because it was a femoral osteotomy (we protect femoral osteotomy with protected weight bearing on crutches for 6 weeks unlike tibial osteotomy where patients are allowed to fully weight bear without crutches from day 1 following surgery) . The ‘range-of-motion’ pictures were taken when he had been off his crutches for six weeks.
Finally, there is a video to show the patient walking.
The next set of photos are of a young woman who has had a medial closing wedge osteotomy for lateral compartment disease only 3 weeks after the procedure was performed.
The image on the left is the fluoroscopic picture of the upper tibial region before the wedge was removed.
This last image shows the plate in place. Finally, there is a video to show the patient walking.
It takes up to 12 months for the bones to fully heal. It is only after this time that we can contemplate removing the osteotomy plate.