Bilateral osteotomy is when an osteotomy is performed on both limbs.

Page updated December 2023 by Dr Sheila Strover (Clinical Editor)

bilateral high tibial osteotomy
Bilateral high tibial osteotomy (courtesy Dr (Mr) Adrian Wilson)


Simultaneous bilateral osteotomy

When there is extreme bowing, or if the patient is in a hurry, the two legs may be operated on at the same time - which is called a simultaneous bilateral osteotomy. Usually, however, the patient is allowed to recover from the one surgery before the other side is one.

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Peer-reviewed papers

  • Quote:

    "Corrective osteotomies around the knee are innovative and efficient therapeutic procedures for restoring axial alignment chiefly for the management of unicompartmental knee OA."

    Citation: Gao L, Madry H, Chugaev DV, Denti M, Frolov A, Burtsev M, Magnitskaya N, Mukhanov V, Neyret P, Solomin LN, Sorokin E, Staubli AE, Stone KR, Vilenskiy V, Zayats V, Pape D, Korolev A. Advances in modern osteotomies around the knee : Report on the Association of Sports Traumatology, Arthroscopy, Orthopaedic surgery, Rehabilitation (ASTAOR) Moscow International Osteotomy Congress 2017. J Exp Orthop. 2019 Feb 25;6(1):9. doi: 10.1186/s40634-019-0177-5. PMID: 30805738; PMCID: PMC6389998.

  • Quote:

    In this study - "Both [simultaneous open wedge high tibial osteotomy] and [bilateral open wedge high tibial osteotomy] achieved the desired therapeutic results, but [simultaneous procedures] resulted in rapid functional improvement with only 1 extra week of hospitalisation.

    Citation: Ogawa H, Matsumoto K, Sengoku M, Yoshioka H, Yamamoto K, Shimokawa T, Ohnishi K, Akiyama H. Clinical course and outcomes of simultaneous-versus staged-bilateral medial opening wedge high tibial osteotomy. Asia Pac J Sports Med Arthrosc Rehabil Technol. 2020 Dec 7;23:13-17. doi: 10.1016/j.asmart.2020.11.003. PMID: 33344173; PMCID: PMC7725662.

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Dr Sheila Strover (Editor)
BSc (Hons), MB BCh, MBA

See biography...