My High Tibial Osteotomy
Please read carefully the information provided below. It is essential that you are familiar with all the steps of your treatment. This will ensure the greatest satisfaction and best possible result of the proposed treatment. The information provided is specific to Mr Vioreanu's practice. All the aspects below will be discussed in depth during the consultation.
Mr. Vioreanu performs the modern iBalance High Tibia Osteotomy. This procedure was first performed in Ireland by Mr. Vioreanu in December 2014. Please read here for more details.
Please see the 2013 American Academy of Orthopedic Surgeons Guidelines for conservative treatment of Osteoarthritis.
It is always worth to try with conservative treatment before deciding for surgery.
It should be stressed that this surgery is designed to allow patients to walk without discomfort, not to return them to sporting activities. Mr. Vioreanu recommends HTO in a select group of patients (i.e. males in their fifties and early sixties, non-smokers, low BMI and with mild/moderate arthritic symptoms) that failed conservative treatment. In this group of patients HTO surgery is very successful with success rates at 10 years after surgery of 90%. If the patient is nearing the age of 70, it is worth considering continuing with conservative measures for as long as possible so that when complete deterioration of the joint has occurred, joint replacement may be performed.
SSC In-hospital Handbook (1451 KB)