Following tibial osteotomy surgery a patient can expect to spend three to five days in hospital.
A physiotherapist will provide exercises for your leg that can be performed whilst in bed. On the day after surgery you can start to mobilise. After having a closing wedge osteotomy it is common to be on crutches for up to six weeks and and sometimes up to three months on crutches after an opening wedge osteotomy.
The post surgery physiotherapy will involve regaining motion in the knee, improving mobility and regaining muscular strength around the knee joint. Additionally you will be provided with techniques to control the swelling in the knee.
You can be discharged once you are mobilising safely, have regained appropriate motion in the knee and your pain is well controlled with pain medication.
During the first postoperative week, the leg may be swollen and the knee may feel somewhat stiff. It is normal to require regular pain medication during this period. It is very important to perform your exercises regularly whilst at home to optimise your outcome following surgery.
The osteotomy is expected to heal over a period of three months. For the last six to eight weeks the knee is typically in a hinged knee brace and all weight is kept off the leg.
The most important part of your rehabilitation is maintaining your strength and motion while the osteotomy is given time to heal. It is important during this period that you are diligent with the exercises given to you by your physiotherapist. This commitment to your prescribed physio exercises will be reflected in your recovery following tibial osteotomy surgery.
It is important to realise that the leg will look different following surgery. Apart from a scar, the alignment of the knee will be very different. Typically it will change from a bowed leg to a knocked knee appearance. A return to manual work typically takes about three to six months, however, sedentary/office duties can be performed about two weeks following surgery.
Concerns: Please contact the office if you are worried about your level of pain, have significant bleeding or have fever or redness around the surgical site.
If you require assistance after hours, please contact the hospital where the surgery was performed and they will contact A/Prof Al Muderis on your behalf.
Norwest Private Hospital: (02) 8882 8882?
Sydney Adventist Hospital: (02) 9487 9111
Macquarie University Hospital: (02) 9812 3000