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High tibial osteotomy

post #1 of 8
Thread Starter 
Has anyone here had one/know someone that has? Do they still ski?
post #2 of 8
I had a tibial plateau bone graft to repair a break. 10 months later the surgeon had to go back in to remove the screws, and reshape the top of the tibia on both the lateral (original damage site), and medial sides because the bone overgrew the repair. I was skiing 3 1/2 months (albeit gingerly) after the original surgery, and 2 months after the 2nd. I know it's not exactly the same, but similiar I think. Good luck... heal well.
post #3 of 8
Nope but if Michael Milton had a leg off & went on to win many WC's & gold medals - including clean sweep of alpine events at last paralympics then it is doable!

Mind you I'm told he was a GOOD skier before he lost the leg to cancer as a kid
post #4 of 8
What procedure is a "high tibial osteotomy"? Are you talking about excision of the bone or some sort of repair that involves cutting through the tibia (with its ultimate reestablishment)?
post #5 of 8
BigE- what is the lesion or deformity that needs correction? Is this a derotational osteotomy for torsion, or was there a malunion or some other problem?

It takes time to regain tensile strength in the limb after an operation like this (where the bone is essentially severed, and then re-aligned and re-attached with devices like plates and screws). I would expect that you would be out for the remainder of the season, but if you heal well, you may be back on snow next year. This will depend on many factors, including the underlying problem, how well you heal, etc. You need to speak with a surgeon who understands the forces involved in skiing and the rehabilitation you will need to make it back. Good luck!
post #6 of 8
Thread Starter 
Thanks for the support. I'm not sure if I'm to have one just yet, although my doctor did mention the procedure. I'll know exactly what is wrong tomorrow morning when he sees the xrays.

If so, I'll need two, as I am very bowlegged. Consequently the medial compartment ( the inside of the knee ) bears most of my weight (6'2", 235 lbs). The cartilege appears to be worn on the inside only. If this keeps up, I'll be unable to ski at all, and perhaps not walk by retirement. Retirement is 20 years down the road and my goal is to retire by a mountain to teach 4 year olds to go "whoo hoo!".

A tibial osteotomy for my condition is to cut into the inside of the tibia and graft a piece of bone from my hip, thus straightening the leg. The weight will now bear down evenly on both sides of the knee -- on the medial and lateral compartments. This should slow the wear. And I won't need canting shims!

235 is a lot of weight, but it's not all fat -- 220 is my goal weight. That should give me about 15% bodyfat, which is healthy for this age...
post #7 of 8
Big E.... one option I had for the graft was to use freeze dried cadaver bone as oposed to being cut at the ilium in order to harvest bone. I only had to be cut in one place instead of 2, which was a less invasive way of doing it. Ask your surgeon if this is an option, I was sure glad I went that route.
post #8 of 8
Thread Starter 
Xrays show sufficient cartilege! Hurray!! I'm now off to get an MRI for the doc to understand the extent of the meniscus damage and propose a solution.

Beware heavy deep squats in the gym! They can damage the meniscus.

The meniscus is a donut/washer shaped piece of cartilege. When you squat very deep the entire load is placed on a very small area at the back of the meniscus. This could be worse if you are on a reduced carb diet, due to it's dehydrating effect.

MRI takes about a month to schedule in Canada -- it's the socialized medicine. OTOH, it's free.
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