Early arthritis is often due to 'bow-legged' malalignment or deformity.  can be helped by re-aligning the lower leg to offload the worn-out part of the knee. Tibial osteotomy is also useful when patients are too young for knee replacement surgery. 

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There is renewed interest in this ‘old-school’ technique due to better implants and instruments. I feel it is a viable alternative in younger people with knee arthritis who want to remain active, and delay a replacement for many years.

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Modern techniques mean that 'breaking and re-setting' the leg does not need a brace or plaster after the operation. Most patients are allowed to walk on the leg immediately, and can go home the following day.

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Accurate planning with digital technology helps to get a good correction and reliable pain relief.

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