Another pain-free double level osteotomy


Rob had a double osteotomy - with a correction in the lower femur and the upper tibia done on the same day.


The day after surgery he was experiencing absolutely no pain.

Before went home he was walking with crutches and still experiencing no pain.

At three weeks post op

I had a football injury at 23yrs old, requiring initial arthroscopy followed by ACL reconstruction. I went on to a further three arthoscopies over the next 10 years or so, followed by an ACI - autologous chondrocyte implantation aged 32. All above surgeries performed by Dr. Andrew Unwin. It was Dr. Unwin who referred me to Professor Wilson. Once referred by Dr Andrew Unwin, Prof. Adrian Wilson discussed the options to me in depth and allowed me time to consider what was available:

  • Injections 
  • Knee brace
  • Partial Knee Replacement
  • Full Knee Replacement
  • Osteotomy

Long leg Xrays were taken and it was deemed that I'd require a Double Osteotomy due to the nature of how bowed my left leg had become. This procedure had to be done in two stages as metal work from my previous ACL reconstruction needed to be removed to allow for a successful osteotomy. This was performed successfully in Nov 2017 - rehab was similar to an ACL reconstruction. Once healed from that, fit and healthy, I was riding my bike by early Jan 2018, and we agreed to a date for the osteotomy procedure - September 2018.
I remained fit and healthy and worked hard at ensuring both legs were as fit and strong as possible prior to my surgery.

So I'm now 3 weeks from the double osteotomy and very pleased with my progress. I walked via crutches the day after surgery and climbed the hospital stairs on the 2nd day!
I'm actually a little dumbfounded by how pain free I've been post surgery. My pain levels have never been beyond level 3 and in truth mostly 0-1.
If I continue to progress as hoped, then I can absolutely endorse Osteotomy surgery and ultimately Prof.Adrian Wilson for the excellent care and expertise given.

I know am still in the early stages, but my initial feelings and expectations are VERY positive. Firstly, I have a wonderful straight leg and am virtually pain free. I am currently attending physio with hydrotherapy sessions and looking to fully weight-bear by week four.My advice to others with similar problems is to stay healthy prior to your operation, and keep building your leg muscles as much as possible prior to your operation. Do some good research, there's lots on the web! Also get a Game Ready as helps with swelling after the operation.

My overall experience so far has been an excellent one. Normally I'm a very active 45 year old. I swim once a week and use my garage gym about 3/4 times weekly. My passion used to be playing football, but now it's mountain biking. I ride local forest trails averaging around 60 miles per week and had covered over 2000 miles this year including Mount Boldo Italy, Peak District, South Downs 100 and the Welsh mountains. I don't tend to have pain when riding my bike, but I noticeably limp when walking and often hold onto the banister when climbing stairs. My pain varies from 0 - 7, although I do have a good pain threshold.

Keeping healthy and enjoying the countryside and life in general are of a high priority to me, therefore the decision on whether or not to have an osteotomy was huge, but also very much the clear and obvious one to take. It's my hope and understanding that this should give me 10 years + before having a possible partial knee replacement. Having a straight leg will also enable future surgery to have a better outcome.


aged 45

At 4.5 weeks

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