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Author Topic: Should I get a knee osteotomy?  (Read 3508 times)

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Offline abi1j2

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Should I get a knee osteotomy?
« on: June 22, 2016, 05:14:17 PM »
Hello all,

I am a 20 year old male who has undergone an ACL and a meniscus repair about 2 years ago. For about a year and a half, my knee felt perfectly fine and I was able to return to sports. It was like I had received my life back. However, for the past year, I have been dealing with a sharp pain in my inner knee every time I try to play sports. The pain is sudden and normally occurs when I'm jumping and I land on the knee. This sharp pain will last for about three days until my knee is absolutely pain-free. I can walk, squat, do stairs, and even do some light jump roping without any pain at all. I do however have pain while running. It's only if I jump high and land on my knee, do I have an issue for a couple days. This has rendered my ability to play sports. I recently went to my doctor and he recommended that I tibial and a femoral osteotomy in my leg. This is based on doing an osteoradiogram which indicated that I am off angle by about 5 to 6 degrees in the dwmour and the tibia.  I always assumed that an osteotomy was required for someone who has consistent pain while walking, like in arthritis.

Do you guys think that this recommendation is correct?    Thank you.
« Last Edit: June 22, 2016, 10:19:59 PM by abi1j2 »

Offline vickster

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Re: Should I get a knee osteotomy?
« Reply #1 on: June 22, 2016, 07:05:48 PM »
I'd get another opinion if not two from a surgeon who is expert in or specialises in bony realignment. If you say where in the world you are, someone might have a suggestion

These are major surgeries not to be taken lightly. You need X-rays, CT scans and detailed measurements taken too to confirm that you are misaligned

Given your symptoms are on and off, you should exhaust every conservative measure possible. If it's caused by jumping, get your footwear looked at by an orthotist, or avoid jumping, find other sports :) you may find the knee pain is down to the muscles not working perfectly in balance, see a physiotherapist to get a thorough assessment

Certainly do not rush into major surgery without all of the details and facts
Came off bike onto concrete 9/9/09 (lat meniscus, lat condyle defect)
LK scopes 8/2/10 & 16/12/10
RK scope 5/2/15 (menisectomy, Hoffa’s fat pad trim)
LK scope 10.1.19 medial meniscectomy, trochlea MFX
LK scope 19.4.21 MFX to both condyles & trochlea, patella cartilage shaved, viscoseal, depo-medrone

Offline UK86

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Re: Should I get a knee osteotomy?
« Reply #2 on: June 30, 2016, 05:08:39 PM »
My understanding was that an osteotomy was mainly to buy time for people with quite damaged knees - a way to avoid a knee replacement for 10 years or so.

Having had a HTO 7 months ago I would not undergo the surgery lightly. The fact that you can walk, squat, do stairs and jump without pain is a good thing....  I can't do all of even after surgery. 

I would look at more conservative options or consider modifying your activity to do lower impact exercise.

Nov 2015 - HTO & Lateral Release