Knee osteotomy vs Total Knee replacement

Posted , 5 users are following.

I am in discussion with my Knee consultant about possibly having a knee osteotomy or waiting till I am a bit older to have a TKR. 

 

Has anyone had this done and if so has it helped?

0 likes, 10 replies

10 Replies

  • Posted

    How old are you???

     

    • Posted

      Not bad.  Age would not be a problem for a TKR.

      Option: Have you tried SynVisc?  Worked for me for years and years.  Three shots (days 1, 8 and 15) would last me 10-12 months each round.  No surgery.  May not work for you but it's a less invasive option to try.

  • Posted

    From a knee site...

    Knee osteotomy has three goals:

    To transfer weight from the arthritic part of the knee to a healthier area

    To correct poor knee alignment

    To prolong the life span of the knee joint

    One advantage of the procedure is that, by preserving your own knee anatomy, a successful osteotomy may delay the need for a joint replacement for several years. Another advantage is that there are no restrictions on physical activities after an osteotomy—you will be able to participate in your favorite activities, even high-impact exercise.

    Osteotomy does have disadvantages. For example, pain relief is not as predictable after osteotomy compared with a partial or total knee replacement. And recovery from osteotomy is typically longer and more difficult because you may not be able to bear weight on your operated knee right away.

    In some cases, having had an osteotomy can make later knee replacement surgery more challenging.

    Because results from total knee replacement and partial knee replacement have been so successful, knee osteotomy has become less common. Nevertheless, it remains an option for many patients."

  • Posted

    Hi I would go for TKR ❤
    • Posted

      Is that based on experience? I am worried TKR revisions. 
    • Posted

      No one can anticipate a revision or an MUA.  There are no crystal balls here...  These devices last 25+ years if you take care of them and avoid pounding (running, jogging, competitive sports) and torquing the knee.
  • Posted

    Hi

    Yes I had a high tibial osteotomy 10years ago I was 43 at the time. Operation was not successful for me afterwards my pain was a lot worse. Surgeon told me I was too young for TKR even though my OA was severe I had to wear a leg brace for 6 months non weight baring for 3 months to enable the new bone to settle. Had crutches etc surgeon said at the time it was my only option as my knee was bone on bone terrible pain & very unstable however he stated this operation is normally reserved for big burly men I am a small 5’3 8st 7 lb female. I then had to have a TKR 5 years later then a revision Jan 17 due to severe infection I have to have another revision early next year as the components are too large for my knee and is causing many problems. I am 53 now and feel my experience with having the osteotomy was the wrong  decision and caused many long term problems for me. Only you can decide which is the best option for you the recovery is painful and lengthy. 

    Regards

    Denise

    • Posted

      😕😟 oh no! That's is a difficult experience... so sorry to hear of it. It seems they are more willing to do TKRs nowadays on younger people. I am 52.

      And revision surgery is a risk factor for any age, as with you,in the case of infection, and all kinds of other factors. You must be made of very strong stuff after all this!

  • Posted

    An update I have is that I really do not need a TKR. 

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