September 23, 2018

Ask The Doctor > Questions & Answers > High Tibial Osteotomy one year ago

High Tibial Osteotomy one year ago

Patient: HI, I did High Tibial Osteotomy before one year and 90% of the pain was gone but why my knees is still in bad shape.



Doctor: The high tibial osteotomy has a rehabilitation protocol that must be followed to guarantee the success of the operation.   The first 4 weeks you progress from non weight bearing using crutches to full weight bearing with crutches and wearing a brace locked in extension. Use of the CPM as tolerated from 0 to 90 degrees of flexion out of the brace.. Ankle pumps and calf/hamstring stretches. From 4 to 6 weeks, begin to normalize gait pattern without crutches, the brace will be unlocked for ambulation and removed for sleeping, discontinue CPM, initiate stationary bike exercises and with low resistance. From week 6 to 3 months: normalized gait, no more brace, mini-squats, leg press, balance activities and increase resistance on the bike. And finally from 3 months to 9 months: full weight bearing with normal gait, full range of motion, you can begin treadmill, swimming, walking and other sport-specific activities. As you see possibly what you need now is a physical therapy program aimed to condition and strenghten your leg muscles.




Dr. Jimmy Obaji M.D.

Dr. Jimmy Obaji completed his residency in Family Medicine at the University of Manitoba. He currently operates a walk-in-clinic in downtown Toronto.

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