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Knee Arthritis and High Tibial Osteotomy

JANUARY 20, 2020



Are you suffering from knee pain? Well, this pain can be caused by an injury or it may be due to wear and tear or by overuse. If the knee pain is a result of overuse, then it is advised that you take ample rest. This pain will subside as soon as you take rest. But, at times you may face persistent pain and this indicates that there is underlying medical condition for this pain/agony. In such a situation you need to consult a knee specialist at the earliest and seek their advice as to what needs to be done so that you can get relief from this pain as rapidly as possible.

Knee arthritis is a common problem faced by most of the older adults. With age, the exacting cartilage began to weary out and as a result bones obtain exposed. Alongside elderly there are a few other factors which grimly affect knee bones. If you are one of the sufferers who are finding it difficult to bear excessive joint pain then physiotherapy experts of Adelaide will be of great help. Physical therapy helps people to regain mobility and get rid of knee pain. The reason for its effectiveness is owed to the technique and approach it adopts. Stiffening of joints can be abridged only through exercises.

With several physiotherapy clinics around one can easily get in touch with the specialist to understand the exact reason of knee pain. Knee treatment varies depending on the nature of pain and diagnosis. The treatment can be as simple as gentle massage, knee mobilisation process, stretches or may involve rigorous physiotherapy process or knee replacement at times.

You just need to look for knee pain clinic in India and book an appointment at the earliest. If the knee pain issue and main the cause is diagnosed at the early stage the treatment can be done with more promising results. We are the well reputed physiotherapy/orthopedic clinic in India has helped many patients to get adequate knee pain treatment.

Close Study on Physiotherapy Methods

Here is a list of exercises that can allow you to achieve functionality of immobile knees.

Hamstring Stretching technique

Keep your leg up on a step, now bend just a bit forward from your hips, and ensure you keep your back straight. Repeat it process three time at least using alternative leg/sides.

Bridging exercise

It is basically regarded as a good glutei toning exercise. Apart from glute, it also works upon erector spine, abductors and also hamstrings. This therapeutically activity can be conducted by lying and raising your knees by suppressing your hands.

Quadriceps stretch

Tightening of quadriceps causes back or knee pain and a small piece of stretching activity enhances its suppleness. There is one consideration that is to be strictly adhered and which is practising cardiovascular warm up prior to the exercises.

Calf raise exercise

This is perhaps the most simple and less time consuming exercise and you won’t need a gym or bigger space to practise it. In it, you have to just raise toes. With this calf raising action, you can attain constancy in ankle. In fact, body balance can be achieved too with this kind of exercise.

Bend and reach

now, this is one of the ordinary types of stretching motion. To perform this, try to stand on the injured leg and gradually reach down to floor by extending legs. It keeps back bone straight and strengthens leg muscles.

Finding out a Good high Tibial Osteotomy

The high tibial osteotomy (HTO) is a standard method in the treatment of varus gonarthrosis. This is potentially associated with a variety of complications. The aim of this study was an analysis of problems and potential technical mistakes. We present 4 technical modifications of high tibial osteotomy which get better its safety and reproducibility.

  • Open wedge correction: opening wedge osteotomy from the proximal fibula osteotomy, medial outside avoids lateral muscle detachment, analysis of the peroneal nerve, and leg shortening; only one osteotomy needs to be performed and the alteration can be modified intraoperatively.
  • Biplanar osteotomy: in addition to the transverse osteotomy of the subsequent tibia a second climbing osteotomy in the coronary plane underneath the tibial tuberosity is performed. This provides improved rotating stability of the osteotomy and creates a forward buttress against sagittal leaning of the osteotomy planes.
  • Incomplete osteotomy with plastic deformation of the tibia: 10 mm of lateral bone stock is left whole. The osteotomy is opened steadily over several minutes by chronological impaction of flat chisels or by use of a particular spreading tool. Manifest fractures of the lateral cortex with resulting unsteadiness are avoided. Rapid bone curative is promoted.
  • Rigid fixation: stable osteosynthesis allows for early recruitment and avoids losses-of-correction. We make use of a medial plate-fixator which can be applied percutanously.

Furthermore, the literature review shows that the outcomes progressively deteriorate with time. Nevertheless, some issues stay that require resolution; these include the choice between opportunity or closing wedge tibial osteotomy, the graft collection in opening wedge osteotomies, the kind of fixation, the comparison with unicompartmental knee arthroplasty and whether HTO considerably affects a following total joint replacement. In this series, the results of whole knee arthroplasty following unicompartmental knee arthroplasty approached but did not equivalent those obtained after high tibial osteotomy. We advocate osteotomy in addition to ligament reconstructive events in these knees with complex injury patterns.

The major indication for HTO is the alteration of varus malalignment in medial unicompartmental osteoarthritis of the knee. The aim is to unload the medial section by slightly overcorrecting into valgus, in order to decrease pain, slow the degenerative process and delay joint substitute. We now consider that total knee arthroplasty is a more proper operation for patients who are more than 60 years old and that high tibial osteotomy should be booked for patients who have a strenuous profession or who wish to continue to contribute in sports activities.

Well, then just get in touch with our clinic and get more information about physiotherapy treatment as soon as possible. Book online appointment with our website and get the best solution for your knee joint pain.