High Tibial Osteotomy (HTO, Internal Fixation)

Surgery is based on preoperative planning of mechanical axis and osteotomy amount. Opening wedge or closing wedge techniques can be selected, and locking plate internal fixation is commonly used. The procedure is usually performed under fluoroscopic guidance to complete the guidance, osteotomy, and angle correction. Bone grafting or replacement materials are placed to support the gap when necessary, and stabilized with plate screws. Postoperative focus is on monitoring pain, bleeding, and thrombosis risk, early initiation of joint movement and muscle strength training, and gradual weight-bearing according to assessment. The above is general health information and not medical advice; the specific plan is subject to specialist evaluation and hospital protocol.