What is a Tibial Osteotomy with an Open or Closed Wedge?

The degeneration of cartilage, preexisting deformities and osteoarthritis are all common factors that can contribute to the knee joint becoming improperly aligned. This often leads to pain, swelling and an inhibited range of motion. When resulting damage is confined to one region of the knee, a tibial osteotomy with an open or closed wedge may be an effective treatment option.

During a tibial osteotomy with an open or closed wedge, an orthopedic surgeon trims the upper end of the tibia (known as the shinbone) near the knee joint and resets the bone in order to provide better adjustment. Body weight is removed from the ailing part of the knee and instead becomes transferred to other regions of the knee joint that are better equipped to handle strain.

Closed-wedge tibial osteotomies are the most commonly performed type of osteotomy procedure. When using a closed-wedge approach, the surgeon removes a section of bone from the outside of the tibia and below the healthy side of the knee. The wedge is then sealed by bringing the tibia and femur nearer to close the wedge. A plate or other support system will be utilized to hold the bones steady as they heal.

Similarly to closed-wedge procedures, open-wedge surgeries involve cutting the region of the tibia close to the knee joint. However, during an open-wedge procedure, the tibia is cut at an angle. The resulting wedge is then filled with a bone graft.

After a tibial osteotomy, you can expect to be on crutches for a few weeks in order to ensure your knee heals properly and maintains correct alignment. After a period of rest and limited activity, focused physical therapy will play an important role in rehabilitation.

Our Treatment Approach

At OrthoCARE Institute, your health and quality of life is our top priority. For arthritis-related issues, we generally encourage non-surgical, conservative treatments, such as lifestyle changes and non-invasive pain management tactics. Some patients, however, require surgical intervention to find optimal relief from the pain, swelling and stiffness caused by a damaged knee.

When you visit OrthoCARE Institute, one of our experienced orthopedic experts will examine your physical state, medical history and the severity of your condition in order to obtain a comprehensive diagnosis. This allows our team to create a personalized treatment plan specific to your individual needs and goals.

Our commitment to your well-being goes far beyond a safe surgical procedure. We are dedicated to helping you enhance and transform your health throughout the rehabilitation process and into the future. For more information about tibial osteotomies or OrthoCARE Institute, please call us directly at 972-573-7802 or fill out the form on our Contact Us page. We look forward to helping you feel better, faster!

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