Ideal candidate for HTO

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David really does represent the most typical demographic for a high tibial osteotomy procedure - early fifties, old injury involving the medial compartment, and eventual bone-on-bone arthritis with significant varus alignment (bowing).

At 51 years of age David underwent a high tibial osteotomy on the right side under my care in January 2017. Prior to surgery he could only walk 100 yards and was limping very heavily with just short distances. He had been referred through to me by another consultant orthopaedic surgeon who knew about my particular interest in osteotomy surgery.

Here is David's story in his own words...

"Following an ACL reconstruction of my right knee I was left with wear on one side of the joint due to the loss of cartilage.

"My Consultant considered me a potential for an Osteotomy and referred me to Adrian, explaining the work he's been involved in to improve the outcome and recovery from the operation.

"I was experiencing considerable pain from the joint which prevented me from walking any distance and always with a limp. Adrian talked through the potential the operation has to relieve this pain and - as I'm a 50 year old - to prolong the joint, delaying the need for knee replacement treatment.

"Adrian explained there was a considerable recovery period and some discomfort along the way which could be controlled. I'd have to say this was true and the recovery was long and painful at times, though I found this to be easily managed with pain killers and lowering my expectation for an instant result!

"On reflection I think I progressed well through recovery and after 9 months the pain went. I am now 12 months on from the operation and delighted with the outcome. With the loss of cartilage, it will never be perfect and I need to be sensible to prolong it's life.  However I can walk normally without my old limp, pain free and I'm very grateful for Adrian's care."

adrian wilson

Adrian Wilson


David is a very active gentleman who still really likes to watch his son play rugby and engage in sport himself, but he hasn’t been able to do so for some time because of the right knee.

He previously injured the ACL and underwent an allograft ACL reconstruction and had some medial joint side damage. This caused bone-on-bone arthritis. As is often the case with bone-on-bone a small osteotomy can make a huge difference, and I am delighted to say that a year down the line David no longer has any pain and is walking normally. He does everything that he wants and he is absolutely delighted with his outcome as am I.

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