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الرياض، المملكة العربية السعودية
Dr. Yousef Muhammad — Orthopaedic SurgeonPhone +966 11 522 2222
دليل الإجراء

الركبة Osteotomy

Shifting the load off the worn compartment.

Osteotomy realigns the leg so that body weight passes through the healthy side of the knee instead of the damaged one — relieving pain and buying years before a replacement is needed.

Knee Osteotomy video placeholder3D Animation (1:08)Watch how a knee osteotomy is performed
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شاهد. افهم. اطمئن.

3D animation placeholder1:08

Knee Osteotomy — 3D Animation

شاهد كيفية إجراء العملية خطوة بخطوة في هذا الفيديو التوضيحي.

Real footage placeholder1:02

Opening-Wedge Technique (Real Footage)

For medical professionals: the surgical technique of a knee osteotomy, step by step.

للأطباء والمختصين
Recovery placeholder1:16

Recovery After Osteotomy

Bone healing, weight bearing progression, and when sport becomes possible again.

الحفاظ على المفصل
إقامة ليلة إلى ليلتين
٦٠–٩٠ دقيقة
Sport Compatible

خطوات العملية (نظرة عامة)

1
Alignment Planning

Long-leg X-rays are used to calculate the correction precisely.

2
الأسلوب الجراحي

A small incision exposes the tibia or femur at the planned level.

3
Controlled Cut

The osteotomy is performed under image guidance, hinge preserved.

4
Correction

The wedge is opened or closed to the planned axis and verified.

5
التثبيت

A low-profile locking plate holds the correction while bone heals.

الجدول الزمني للتعافي (خطوة بخطوة)

الأسبوع ١–٢Partial weight bearing on crutches · Swelling control · Motion exercises
الأسبوع ٣–٦Increasing load as bone healing allows · Cycling · Strengthening
الأسبوع ٦–١٢Full weight bearing · Gait retraining · Progressive gym work
الشهر ٣–٦Running and impact activity reintroduced
الشهر ٦–١٢Full sport · Plate removal only if it causes irritation*
نظرة عامة

Early arthritis often affects one compartment only, usually the inner side of a bow-legged knee. Replacing the whole joint in an active patient is a big step; changing the mechanics is often the smarter one.

By moving the load line a few degrees, the worn compartment is unloaded and the healthy one takes over. For many active patients this means years of high-level activity with their own joint.

Is a knee osteotomy right for you?
  • Single-compartment arthritis with a matching leg deformity
  • Younger, active patients wanting to keep their own joint
  • Pain focused on the inner or outer side of the knee
  • Combined with cartilage, meniscus or ligament surgery
احجز استشارة
الاستعداد للعملية
  • Long-leg X-raysThe correction is planned digitally to the degree
  • الإقلاع عن التدخينNicotine markedly slows bone healing — this matters here
  • Crutch trainingSix weeks of partial loading is normal; practise beforehand
  • Home setupPlan for reduced mobility during the first weeks

An osteotomy is biomechanics, not implant surgery. Get the axis right and the patient keeps their own knee — often for a decade or more of sport. That is a trade worth making in a young, active patient.

د. يوسف محمد
استشاري جراحة العظام
Dr. Yousef Muhammad

Questions & Answers

Is osteotomy better than a partial replacement?
In younger, active patients with a deformity, yes — it preserves the joint and allows impact sport. In older patients with more advanced wear, a partial replacement is usually more predictable.
How long does the bone take to heal?
Six to twelve weeks for reliable healing, with full remodelling continuing for months. Weight bearing follows the healing, not the calendar.
Will the plate be removed?
Only if it irritates you. Many patients keep it permanently; removal, if wanted, is a small procedure after a year.
Can I play sport again?
Yes — including running, skiing and football for many patients, typically from six months once bone healing and strength allow.
Will my leg look different?
The correction is a few degrees. It straightens an obvious bow-leg, which most patients find cosmetically welcome.
Can I still have a replacement later?
Yes. An osteotomy does not prevent a later knee replacement; it delays the need for one.

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