What is HTO with Root Repair?
High Tibial Osteotomy (HTO) with Root Repair is a surgery used to treat knee problems, specifically those caused by a condition called a medial meniscal root tear with early Knee Arthitis. This involves damage to the meniscus, a cushion inside the knee joint, especially where it attaches to the bone. The goal of HTO with Root Repair is to realign the knee joint and fix the damaged meniscal root to reduce pain and improve knee function.
What are the Symptoms of Medial Meniscal Root Tear?
Symptoms of a medial meniscal root tear may include:
- Knee pain, especially along the joint line
- Swelling and stiffness in the knee
- Difficulty fully straightening or bending the knee
- Feeling of instability or giving way in the knee
- Clicking or popping sensations during movement
These symptoms can affect daily activities and may get worse over time if not treated.
How to Diagnosed Medial Meniscus Root Tear?
Diagnosing a medial meniscal root tear usually involves a physical examination by Dr. Vishal Mandlewala at Renison Knee and Shoulder Clinic. After Examination Dr. Vishal Mandlewala might suggest test like xray,MRI, Scanogram to confirm the diagnosis and assess the extent of the injury.
MRI provides detailed images of the knee structures, helping Dr. Vishal Mandlewala to determine the best treatment approach.
Scanogram: To determine how severe is knee arthritis and determing the best treatment approach
Treatment:
Treatment for a medial meniscal root tear depends on the severity of the injury and individual factors. HTO with Root Repair may be recommended, especially for patients with certain knee alignment issues or early-stage arthritis along with the meniscal root tear.
The HTO with Root Repair procedure has two main parts:
- High Tibial Osteotomy (HTO):This involves making a precise cut in the shinbone (tibia) to realign the knee joint. By shifting the weight-bearing axis of the knee, HTO aims to reduce pressure on the injured area of the meniscus and promote healing.
- Meniscal Root Repair:During the same surgery, the torn meniscal root is repaired using stitches or specialized anchors to reattach it to the bone. This restores stability and function to the meniscus, helping to support the knee joint and prevent further damage.
Recovery after Medial Meniscus Root Repair and HTO
After HTO with Root Repair, patients typically undergo a period of immobilization followed by gradual rehabilitation. Crutches or a brace may be needed to protect the knee and limit weight-bearing for a time after surgery. Physical therapy exercises are introduced gradually to improve strength, flexibility, and knee joint movement.
Returning to ormal activities, including sports and heavy lifting, may take several months and Will be Guided by Dr. Vishal Mandlewala based on individual progress and recovery.
Take Home Message :
High Tibial Osteotomy (HTO) with Root Repair is a surgical option for individuals with a medial meniscal root tear and related knee alignment issues. By realigning the knee joint and fixing the damaged meniscal root, this procedure aims to reduce pain, improve knee function, and potentially delay arthritis progression. Early diagnosis and intervention are crucial for successful outcomes and long-term knee health. Dr. Vishal Mandlewala at Renison Knee and Shoulder Clinic can provide personalized guidance and treatment options tailored to each individual’s needs.
