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

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.


An explanation of different kinds of osteotomy around the knee

Article explaining how an elderly person's life was changed by a bilateral knee osteotomy.



Simultaneous bilateral opening-wedge high tibial osteotomy with early full weight-bearing exercise. Takeuchi R, Aratake M, Bito H, Saito I, Kumagai K, Ishikawa H, Akamatsu Y, Sasaki Y and Saito T. Knee Surg Sports Traumatol Arthrosc. 2008 Nov;16(11):1030-7. doi: 10.1007/s00167-008-0609-8. Epub 2008 Sep 2.

Bilateral double osteotomy in severe torsional malalignment syndrome: 16 years follow-up. Leonardi F, Rivera F, Zorzan A and Ali SM. J Orthop Traumatol. 2014 Jun; 15(2): 131–136.

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