{"id":786,"date":"2024-10-10T16:20:00","date_gmt":"2024-10-10T13:20:00","guid":{"rendered":"https:\/\/llscenter.com\/?p=786"},"modified":"2024-10-10T14:27:49","modified_gmt":"2024-10-10T11:27:49","slug":"what-is-high-tibial-osteotomy-what-you-need-to-know","status":"publish","type":"post","link":"https:\/\/llscenter.com\/it\/what-is-high-tibial-osteotomy-what-you-need-to-know\/","title":{"rendered":"Cos&#039;\u00e8 l&#039;osteotomia tibiale alta? Cosa c&#039;\u00e8 da sapere"},"content":{"rendered":"<div data-elementor-type=\"wp-post\" data-elementor-id=\"786\" class=\"elementor elementor-786\" data-elementor-post-type=\"post\">\n\t\t\t\t<div class=\"elementor-element elementor-element-680e118 e-flex e-con-boxed e-con e-parent\" data-id=\"680e118\" data-element_type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t<div class=\"elementor-element elementor-element-90c2d7e e-con-full e-flex e-con e-child\" data-id=\"90c2d7e\" data-element_type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-a7209eb elementor-widget elementor-widget-heading\" data-id=\"a7209eb\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<h1 class=\"elementor-heading-title elementor-size-default\">Esiste un limite di et\u00e0 per l&#039;intervento di allungamento degli arti?<\/h1>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-f679bd8 elementor-align-center elementor-widget elementor-widget-breadcrumbs\" data-id=\"f679bd8\" data-element_type=\"widget\" data-widget_type=\"breadcrumbs.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<p id=\"breadcrumbs\"><span><span><a href=\"https:\/\/llscenter.com\/it\/\">Anasayfa<\/a><\/span><\/span><\/p>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-6074ec8 e-flex e-con-boxed e-con e-parent\" data-id=\"6074ec8\" data-element_type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t<div class=\"elementor-element elementor-element-8b99d60 e-con-full e-flex e-con e-child\" data-id=\"8b99d60\" data-element_type=\"container\">\n\t\t<div class=\"elementor-element elementor-element-9e6a410 e-con-full e-flex e-con e-child\" data-id=\"9e6a410\" data-element_type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-9f82247 elementor-widget elementor-widget-image\" data-id=\"9f82247\" data-element_type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t<img fetchpriority=\"high\" decoding=\"async\" width=\"1000\" height=\"500\" src=\"https:\/\/llscenter.com\/wp-content\/uploads\/2024\/10\/what-is-high-tibial-osteotomy-what-you-need-to-know-00.jpg\" class=\"attachment-1536x1536 size-1536x1536 wp-image-788\" alt=\"\" srcset=\"https:\/\/llscenter.com\/wp-content\/uploads\/2024\/10\/what-is-high-tibial-osteotomy-what-you-need-to-know-00.jpg 1000w, https:\/\/llscenter.com\/wp-content\/uploads\/2024\/10\/what-is-high-tibial-osteotomy-what-you-need-to-know-00-300x150.jpg 300w, https:\/\/llscenter.com\/wp-content\/uploads\/2024\/10\/what-is-high-tibial-osteotomy-what-you-need-to-know-00-768x384.jpg 768w, https:\/\/llscenter.com\/wp-content\/uploads\/2024\/10\/what-is-high-tibial-osteotomy-what-you-need-to-know-00-18x9.jpg 18w\" sizes=\"(max-width: 1000px) 100vw, 1000px\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-ee5984e elementor-toc--minimized-on-tablet elementor-widget elementor-widget-table-of-contents\" data-id=\"ee5984e\" data-element_type=\"widget\" data-settings=\"{&quot;headings_by_tags&quot;:[&quot;h1&quot;,&quot;h2&quot;,&quot;h3&quot;,&quot;h4&quot;,&quot;h5&quot;,&quot;h6&quot;],&quot;exclude_headings_by_selector&quot;:[],&quot;marker_view&quot;:&quot;numbers&quot;,&quot;minimize_box&quot;:&quot;yes&quot;,&quot;minimized_on&quot;:&quot;tablet&quot;,&quot;hierarchical_view&quot;:&quot;yes&quot;,&quot;min_height&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;size&quot;:&quot;&quot;,&quot;sizes&quot;:[]},&quot;min_height_tablet&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;size&quot;:&quot;&quot;,&quot;sizes&quot;:[]},&quot;min_height_mobile&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;size&quot;:&quot;&quot;,&quot;sizes&quot;:[]}}\" data-widget_type=\"table-of-contents.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"elementor-toc__header\">\n\t\t\t<h4 class=\"elementor-toc__header-title\">\n\t\t\t\tSommario\t\t\t<\/h4>\n\t\t\t\t\t\t\t<div class=\"elementor-toc__toggle-button elementor-toc__toggle-button--expand\" role=\"button\" tabindex=\"0\" aria-controls=\"elementor-toc__ee5984e\" aria-expanded=\"true\" aria-label=\"Open table of contents\"><svg aria-hidden=\"true\" class=\"e-font-icon-svg e-fas-chevron-down\" viewbox=\"0 0 448 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M207.029 381.476L12.686 187.132c-9.373-9.373-9.373-24.569 0-33.941l22.667-22.667c9.357-9.357 24.522-9.375 33.901-.04L224 284.505l154.745-154.021c9.379-9.335 24.544-9.317 33.901.04l22.667 22.667c9.373 9.373 9.373 24.569 0 33.941L240.971 381.476c-9.373 9.372-24.569 9.372-33.942 0z\"><\/path><\/svg><\/div>\n\t\t\t\t<div class=\"elementor-toc__toggle-button elementor-toc__toggle-button--collapse\" role=\"button\" tabindex=\"0\" aria-controls=\"elementor-toc__ee5984e\" aria-expanded=\"true\" aria-label=\"Close table of contents\"><svg aria-hidden=\"true\" class=\"e-font-icon-svg e-fas-chevron-up\" viewbox=\"0 0 448 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M240.971 130.524l194.343 194.343c9.373 9.373 9.373 24.569 0 33.941l-22.667 22.667c-9.357 9.357-24.522 9.375-33.901.04L224 227.495 69.255 381.516c-9.379 9.335-24.544 9.317-33.901-.04l-22.667-22.667c-9.373-9.373-9.373-24.569 0-33.941L207.03 130.525c9.372-9.373 24.568-9.373 33.941-.001z\"><\/path><\/svg><\/div>\n\t\t\t\t\t<\/div>\n\t\t<div id=\"elementor-toc__ee5984e\" class=\"elementor-toc__body\">\n\t\t\t<div class=\"elementor-toc__spinner-container\">\n\t\t\t\t<svg class=\"elementor-toc__spinner eicon-animation-spin e-font-icon-svg e-eicon-loading\" aria-hidden=\"true\" viewbox=\"0 0 1000 1000\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M500 975V858C696 858 858 696 858 500S696 142 500 142 142 304 142 500H25C25 237 238 25 500 25S975 237 975 500 763 975 500 975Z\"><\/path><\/svg>\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-571286d elementor-widget elementor-widget-text-editor\" data-id=\"571286d\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<p>High tibial osteotomy is an orthopedic <strong>knee realignment surgery<\/strong> that includes the alignment of the knee joint. The intention of this procedure is pain reduction, functional improvement of the knee, and the reduction of disability in that particular knee by shifting its weight-bearing part away from the area where damage to the cartilage occurs. This article will provide information in detail about this surgical operation. We hope this will give any person who is presented with the decision whether or not to have an <strong>HTO procedure<\/strong> enough information on which to base a decision.<\/p><p><strong>What is high tibial osteotomy<\/strong> operation? This operation anatomically realigns the knee. The primary indications for an HTO include alleviating unicompartmental pain due to osteoarthritis, restoration of functional <strong>knee realignment surgery<\/strong>, correction of malalignment with a concomitant ligamentous insufficiency, and\/or treatment of a bony deformity that may preclude ligamentous reconstruction. There are obvious differences between HTOs for possible multicompartmental disease, HTOs combined with either cartilage repair or osteochondral transfer procedures, and HTO in the varus knee. The terminology and surgical techniques have changed over time, and it is easily confusing for any patient considering an HTO. Patient education is indeed the key to any successful surgical intervention.<\/p>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-64f0b45 elementor-widget elementor-widget-heading\" data-id=\"64f0b45\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">What are the Advantages of High Tibial Osteotomy?<\/h2>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-2828120 elementor-widget elementor-widget-text-editor\" data-id=\"2828120\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<p>Indications of high tibial osteotomy include young patients with acute knee arthritis and varus deformity. Varus deformity is a condition of the knee where it takes on a deformity that is usually bent inward, bowing the legs and thus increasing pressure upon the medial compartment of the knee. Indication for the performance of HTO is in cases of early or moderate knee arthritis with still-intact cartilage, consisting of 4 to 6 on the Kellgren-Lawrence scale with modification. Patients with such characteristics, when there is varus deformity, are encouraged to undergo HTO in order to gain a new alignment.<\/p><p><strong>High tibial osteotomy guide<\/strong>: A person who receives HTO will get several benefits, including-<\/p><ol><li>Reducing deformity. The <strong>HTO procedure<\/strong> can reconstruct the anatomy and alignment of the knee from its natural condition. Accurate alignment in the knee joint will remove additional forces from the interior and separate the compartment joints.<\/li><li>Pain relief. Because the pressure on the injured joint is reduced, the pain felt by the patient will decrease. Some clinical studies have shown pain relief in the knee after osteotomy.<\/li><li>Can delay the need for knee replacement. <strong>HTO procedure <\/strong>can act as a temporizing treatment for patients with unicompartmental arthritis. It is said that osteotomy is associated with a longer time to TKA compared to the natural progression of arthritis.<\/li><li>Avoid complications due to prosthetic care. <strong>HTO procedure <\/strong>can improve the quality of life for people who undergo knee osteotomy <strong>knee realignment surgery<\/strong>. Patients with osteoarthritis who have long-term improvement from osteotomy often have an overall better quality of life than people who do not have HTO. Preoperative assessment plays an important role in determining whether patients should undergo HTO or not. Sometimes, because the varus deformity is small, it may not be indicated for HTO, and conservative treatments may be given instead.<\/li><\/ol>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-0b9641f elementor-widget elementor-widget-heading\" data-id=\"0b9641f\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">What are the Surgical Techniques for High Tibial Osteotomy?<\/h2>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-dbcaf61 elementor-widget elementor-widget-text-editor\" data-id=\"dbcaf61\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<p>Key steps prior to<strong> knee realignment surgery<\/strong> are general assessments, informed patient consent, and choosing the most appropriate imaging modalities. Although long-leg radiography was the standard image in nearly all studies and the only available image in the initial projects, CT was reformulated for planning in HTO at a later date to detect individual antecurvation of the tibia. Furthermore, MRI and cone-beam CT images have been indicated, especially when investigating meniscus injuries and improving patient care by analyzing the weight-bearing line or mechanical axis.<\/p><p>Determination of correction based on the <strong>high tibial osteotomy guide<\/strong> gives rise to the decision about the surgical procedure, including the different tibial procedures in terms of the osteotomy as well as the direction of the correction. There are different osteotomy techniques available, such as medial-positive osteotomy or oblique osteotomy. With respect to the different angles, the medial-positive osteotomy and valgising the knee can be performed with different techniques.<\/p>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-416b83c elementor-widget elementor-widget-heading\" data-id=\"416b83c\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<h3 class=\"elementor-heading-title elementor-size-default\">High Tibial Osteotomy Explained: Surgical Procedures <\/h3>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-d141dc5 elementor-widget elementor-widget-text-editor\" data-id=\"d141dc5\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<p>OWHTO and LCWHTO are the most common osteotomy techniques for extravertebral HTO, but there is no clear evidence showing which method is preferable in elevation with regard to the purpose of the deformity and type of correction. The techniques were performed percutaneously with a drill from the medial or lateral entry point after the osteotomy gap distractor was used. Most often, an OWHTO is stated as a \u201chigh osteotomy\u201d and an LCWHTO as a \u201clow osteotomy.\u201d The exposure of distal fixation can be attended by one long skin incision that shares the wrist of the leg and tibia tracking. Most orthopedic surgeons will utilize a tourniquet. OWHTO is the most performed osteotomy in Europe and also in the USA. The flexibility of the technique is due to the variability of its performance. As <strong>osteotomia tibiale alta spiegata<\/strong>, the operation shall comprise patient evaluation, surgical technique, postoperative management, outcomes, regeneration processes, and finally, the case. The patients in all studies underwent complete clinical assessment, including physical examination and radiographic assessment as a minimum.<\/p>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-359df67 elementor-widget elementor-widget-heading\" data-id=\"359df67\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">How to Recover After High Tibial Osteotomy?<\/h2>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-1c0e750 elementor-widget elementor-widget-text-editor\" data-id=\"1c0e750\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<p>Recupero dopo <strong>osteotomia tibiale alta spiegata<\/strong>: \u00c8 un processo spesso lento e a volte frustrante. Molti pazienti non caricano il peso o lo caricano solo in modo limitato per sei settimane, seguite da una lenta progressione verso il carico completo sulla gamba operata. La fase iniziale della riabilitazione si concentra sul controllo del dolore, sulla gestione del gonfiore, sui limiti nel posizionamento della gamba e sulla protezione della riparazione, che \u00e8 pi\u00f9 probabilmente identificata come pseudoartrosi. Tra le sei e le dodici settimane, la maggior parte dei pazienti viene valutata e riceve il &quot;via libera&quot; per iniziare a progredire nella riabilitazione e nell&#039;attivit\u00e0 fisica sotto la supervisione della fisioterapia. Molti chirurghi ortopedici utilizzano un protocollo riabilitativo specifico per la loro popolazione di pazienti. Con un numero sempre maggiore di chirurghi ortopedici che eseguono procedure ricostruttive, l&#039;uso dei protocolli riabilitativi sta diventando pi\u00f9 standardizzato. Ad oggi non esistono studi randomizzati controllati sui diversi programmi riabilitativi e su quale sia la riabilitazione ottimale dopo un&#039;osteotomia.<\/p><p>I pazienti sottoposti a osteotomie tibiali alte ricevono i programmi di riabilitazione dal loro chirurgo. Si ritiene che, con le diverse tecniche chirurgiche per l&#039;osteotomia tibiale alta, il programma di riabilitazione debba essere personalizzato. Ricorrere a programmi come protocolli domiciliari senza l&#039;uso di fisioterapia pu\u00f2 migliorare il recupero del paziente con un alto tasso di consolidamento. Il dolore pu\u00f2 essere un fattore complicante nel processo di recupero. Pu\u00f2 essere gestito con farmaci da prescrizione o antidolorifici da banco. Esistono anche molti programmi che utilizzano la fisioterapia per esercizi guidati di mobilit\u00e0 articolare e rafforzamento che hanno avuto successo. \u00c8 importante non dimenticare i pazienti sottoposti a cuneo chiuso o a cupola; sebbene questi pazienti siano in carico, di solito accusano un dolore osseo significativo per mesi durante la fusione delle ossa. \u00c8 essenziale che chirurghi e pazienti abbiano obiettivi e traguardi definiti nel processo di recupero. Durante questo periodo possono verificarsi complicazioni che potrebbero alterare la riabilitazione. Sono state segnalate significativamente meno complicazioni dopo l&#039;apertura del cuneo rispetto alle tradizionali procedure di chiusura. Qualsiasi gonfiore o versamento nell&#039;articolazione solitamente diminuisce. Anche la fisioterapia e il potenziamento muscolare hanno avuto successo. \u00c8 quindi fondamentale, a 12 settimane, iniziare a stabilire gli obiettivi riabilitativi da raggiungere per tornare alle normali attivit\u00e0. In questa fase cruciale, la correzione delle deformit\u00e0 \u00e8 fondamentale.<\/p>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-1348b85 elementor-widget elementor-widget-heading\" data-id=\"1348b85\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">What are the Risks Associated with HTO Procedure?<\/h2>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-58d2ac1 elementor-widget elementor-widget-text-editor\" data-id=\"58d2ac1\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<p>The performance of a knee realignment surgery has been refined over the years, and surgeons are well aware of the potential risk profile. There are many potential complications associated with a high tibial osteotomy, especially at the standard medial opening site. The most common factors potentially contributing to the complications are patient-specific factors and the quality of the osteotomy displacement, fixation tools, and preoperative planning. The biggest risk occurs when the surgeon stops evaluating the patient after one year without a clinically successful outcome evaluation. Most of the complications could have been found in a few months postoperatively if only more aggressive routine postoperative examinations were performed. The administration of informed consent and a detailed schedule for consequences is essential to clinically successful outcomes.<\/p>\n<p>Complications of the <strong>knee realignment surgery<\/strong> include malunion, nonunion, lateral cortical fracture, peroneal nerve palsy, intra-articular complications, and joint penetration with hardware. To avoid complications, removal of hardware must be performed to improve soft tissue balancing and to perform total knee arthroplasty in the following situations: no painful hardware status and no contraindications. Proper patient case selection, a meticulous osteotomy technique, and bone healing enhancement reduce the probability of complications. The most challenging situation, nonunion with knee pain evolution, requires immediate precise examination of the patient&#8217;s comorbidities, alcohol and nicotine intake, and technique blunders before planning revision. Careful examination of possible complications is critical to understanding why the patient has not succeeded.<\/p>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-9bcdde5 e-flex e-con-boxed e-con e-parent\" data-id=\"9bcdde5\" data-element_type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t<div class=\"elementor-element elementor-element-664766f e-con-full e-flex e-con e-child\" data-id=\"664766f\" data-element_type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-f8cca20 elementor-post-navigation-borders-yes elementor-widget elementor-widget-post-navigation\" data-id=\"f8cca20\" data-element_type=\"widget\" data-widget_type=\"post-navigation.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"elementor-post-navigation\">\n\t\t\t<div class=\"elementor-post-navigation__prev elementor-post-navigation__link\">\n\t\t\t\t<a href=\"https:\/\/llscenter.com\/it\/is-there-an-age-limit-limb-lengthening-surgery\/\" rel=\"prev\"><span class=\"post-navigation__arrow-wrapper post-navigation__arrow-prev\"><i class=\"fa fa-chevron-left\" aria-hidden=\"true\"><\/i><span class=\"elementor-screen-only\">Prev<\/span><\/span><span class=\"elementor-post-navigation__link__prev\"><span class=\"post-navigation__prev--label\">Precedente<\/span><span class=\"post-navigation__prev--title\">Esiste un limite di et\u00e0 per l&#039;intervento di allungamento degli arti?<\/span><\/span><\/a>\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-post-navigation__separator-wrapper\">\n\t\t\t\t\t<div class=\"elementor-post-navigation__separator\"><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t<div class=\"elementor-post-navigation__next elementor-post-navigation__link\">\n\t\t\t\t<a href=\"https:\/\/llscenter.com\/it\/high-tibial-osteotomy-vs-knee-replacement-which-is-right-for-you\/\" rel=\"next\"><span class=\"elementor-post-navigation__link__next\"><span class=\"post-navigation__next--label\">Prossimo<\/span><span class=\"post-navigation__next--title\">Osteotomia tibiale alta o sostituzione del ginocchio: qual \u00e8 la soluzione pi\u00f9 adatta a te?<\/span><\/span><span class=\"post-navigation__arrow-wrapper post-navigation__arrow-next\"><i class=\"fa fa-chevron-right\" aria-hidden=\"true\"><\/i><span class=\"elementor-screen-only\">Prossimo<\/span><\/span><\/a>\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>","protected":false},"excerpt":{"rendered":"<p>Scopri l&#039;intervento di allungamento degli arti, comprese le tecniche, il processo di recupero e i costi. Scopri come questo intervento pu\u00f2 migliorare la qualit\u00e0 della vita.<\/p>","protected":false},"author":2,"featured_media":788,"comment_status":"closed","ping_status":"open","sticky":false,"template":"elementor_header_footer","format":"standard","meta":{"footnotes":""},"categories":[1],"tags":[],"class_list":["post-786","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-genel"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v26.2 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>What is High Tibial Osteotomy? What You Need to Know - LLS Center<\/title>\n<meta name=\"description\" content=\"Benefits, surgical techniques, and recovery process of high tibial osteotomy (HTO), a knee realignment surgery for reducing pain and improving knee function.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/llscenter.com\/it\/what-is-high-tibial-osteotomy-what-you-need-to-know\/\" \/>\n<meta property=\"og:locale\" content=\"it_IT\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"What is High Tibial Osteotomy? What You Need to Know - LLS Center\" \/>\n<meta property=\"og:description\" content=\"Benefits, surgical techniques, and recovery process of high tibial osteotomy (HTO), a knee realignment surgery for reducing pain and improving knee function.\" \/>\n<meta property=\"og:url\" content=\"https:\/\/llscenter.com\/it\/what-is-high-tibial-osteotomy-what-you-need-to-know\/\" \/>\n<meta property=\"og:site_name\" content=\"LLS Center\" \/>\n<meta property=\"article:published_time\" content=\"2024-10-10T13:20:00+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/llscenter.com\/wp-content\/uploads\/2024\/10\/what-is-high-tibial-osteotomy-what-you-need-to-know-00.jpg\" \/>\n\t<meta property=\"og:image:width\" content=\"1000\" \/>\n\t<meta property=\"og:image:height\" content=\"500\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/jpeg\" \/>\n<meta name=\"author\" content=\"Sercan YAZAR\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Scritto da\" \/>\n\t<meta name=\"twitter:data1\" content=\"Sercan YAZAR\" \/>\n\t<meta name=\"twitter:label2\" content=\"Tempo di lettura stimato\" \/>\n\t<meta name=\"twitter:data2\" content=\"7 minuti\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\/\/schema.org\",\"@graph\":[{\"@type\":\"WebPage\",\"@id\":\"https:\/\/llscenter.com\/what-is-high-tibial-osteotomy-what-you-need-to-know\/\",\"url\":\"https:\/\/llscenter.com\/what-is-high-tibial-osteotomy-what-you-need-to-know\/\",\"name\":\"What is High Tibial Osteotomy? What You Need to Know - LLS Center\",\"isPartOf\":{\"@id\":\"https:\/\/llscenter.com\/#website\"},\"primaryImageOfPage\":{\"@id\":\"https:\/\/llscenter.com\/what-is-high-tibial-osteotomy-what-you-need-to-know\/#primaryimage\"},\"image\":{\"@id\":\"https:\/\/llscenter.com\/what-is-high-tibial-osteotomy-what-you-need-to-know\/#primaryimage\"},\"thumbnailUrl\":\"https:\/\/llscenter.com\/wp-content\/uploads\/2024\/10\/what-is-high-tibial-osteotomy-what-you-need-to-know-00.jpg\",\"datePublished\":\"2024-10-10T13:20:00+00:00\",\"author\":{\"@id\":\"https:\/\/llscenter.com\/#\/schema\/person\/0c81546343315566182df14c4d86f045\"},\"description\":\"Benefits, surgical techniques, and recovery process of high tibial osteotomy (HTO), a knee realignment surgery for reducing pain and improving knee function.\",\"breadcrumb\":{\"@id\":\"https:\/\/llscenter.com\/what-is-high-tibial-osteotomy-what-you-need-to-know\/#breadcrumb\"},\"inLanguage\":\"it-IT\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"https:\/\/llscenter.com\/what-is-high-tibial-osteotomy-what-you-need-to-know\/\"]}]},{\"@type\":\"ImageObject\",\"inLanguage\":\"it-IT\",\"@id\":\"https:\/\/llscenter.com\/what-is-high-tibial-osteotomy-what-you-need-to-know\/#primaryimage\",\"url\":\"https:\/\/llscenter.com\/wp-content\/uploads\/2024\/10\/what-is-high-tibial-osteotomy-what-you-need-to-know-00.jpg\",\"contentUrl\":\"https:\/\/llscenter.com\/wp-content\/uploads\/2024\/10\/what-is-high-tibial-osteotomy-what-you-need-to-know-00.jpg\",\"width\":1000,\"height\":500},{\"@type\":\"BreadcrumbList\",\"@id\":\"https:\/\/llscenter.com\/what-is-high-tibial-osteotomy-what-you-need-to-know\/#breadcrumb\",\"itemListElement\":[{\"@type\":\"ListItem\",\"position\":1,\"name\":\"Anasayfa\",\"item\":\"https:\/\/llscenter.com\/\"},{\"@type\":\"ListItem\",\"position\":2,\"name\":\"What is High Tibial Osteotomy? What You Need to Know\"}]},{\"@type\":\"WebSite\",\"@id\":\"https:\/\/llscenter.com\/#website\",\"url\":\"https:\/\/llscenter.com\/\",\"name\":\"LLS Center\",\"description\":\"\",\"potentialAction\":[{\"@type\":\"SearchAction\",\"target\":{\"@type\":\"EntryPoint\",\"urlTemplate\":\"https:\/\/llscenter.com\/?s={search_term_string}\"},\"query-input\":{\"@type\":\"PropertyValueSpecification\",\"valueRequired\":true,\"valueName\":\"search_term_string\"}}],\"inLanguage\":\"it-IT\"},{\"@type\":\"Person\",\"@id\":\"https:\/\/llscenter.com\/#\/schema\/person\/0c81546343315566182df14c4d86f045\",\"name\":\"Sercan YAZAR\",\"url\":\"https:\/\/llscenter.com\/it\/author\/sercan-yazar\/\"}]}<\/script>\n<!-- \/ Yoast SEO plugin. -->","yoast_head_json":{"title":"What is High Tibial Osteotomy? What You Need to Know - LLS Center","description":"Benefits, surgical techniques, and recovery process of high tibial osteotomy (HTO), a knee realignment surgery for reducing pain and improving knee function.","robots":{"index":"index","follow":"follow","max-snippet":"max-snippet:-1","max-image-preview":"max-image-preview:large","max-video-preview":"max-video-preview:-1"},"canonical":"https:\/\/llscenter.com\/it\/what-is-high-tibial-osteotomy-what-you-need-to-know\/","og_locale":"it_IT","og_type":"article","og_title":"What is High Tibial Osteotomy? What You Need to Know - LLS Center","og_description":"Benefits, surgical techniques, and recovery process of high tibial osteotomy (HTO), a knee realignment surgery for reducing pain and improving knee function.","og_url":"https:\/\/llscenter.com\/it\/what-is-high-tibial-osteotomy-what-you-need-to-know\/","og_site_name":"LLS Center","article_published_time":"2024-10-10T13:20:00+00:00","og_image":[{"width":1000,"height":500,"url":"https:\/\/llscenter.com\/wp-content\/uploads\/2024\/10\/what-is-high-tibial-osteotomy-what-you-need-to-know-00.jpg","type":"image\/jpeg"}],"author":"Sercan YAZAR","twitter_card":"summary_large_image","twitter_misc":{"Scritto da":"Sercan YAZAR","Tempo di lettura stimato":"7 minuti"},"schema":{"@context":"https:\/\/schema.org","@graph":[{"@type":"WebPage","@id":"https:\/\/llscenter.com\/what-is-high-tibial-osteotomy-what-you-need-to-know\/","url":"https:\/\/llscenter.com\/what-is-high-tibial-osteotomy-what-you-need-to-know\/","name":"What is High Tibial Osteotomy? What You Need to Know - LLS Center","isPartOf":{"@id":"https:\/\/llscenter.com\/#website"},"primaryImageOfPage":{"@id":"https:\/\/llscenter.com\/what-is-high-tibial-osteotomy-what-you-need-to-know\/#primaryimage"},"image":{"@id":"https:\/\/llscenter.com\/what-is-high-tibial-osteotomy-what-you-need-to-know\/#primaryimage"},"thumbnailUrl":"https:\/\/llscenter.com\/wp-content\/uploads\/2024\/10\/what-is-high-tibial-osteotomy-what-you-need-to-know-00.jpg","datePublished":"2024-10-10T13:20:00+00:00","author":{"@id":"https:\/\/llscenter.com\/#\/schema\/person\/0c81546343315566182df14c4d86f045"},"description":"Benefits, surgical techniques, and recovery process of high tibial osteotomy (HTO), a knee realignment surgery for reducing pain and improving knee function.","breadcrumb":{"@id":"https:\/\/llscenter.com\/what-is-high-tibial-osteotomy-what-you-need-to-know\/#breadcrumb"},"inLanguage":"it-IT","potentialAction":[{"@type":"ReadAction","target":["https:\/\/llscenter.com\/what-is-high-tibial-osteotomy-what-you-need-to-know\/"]}]},{"@type":"ImageObject","inLanguage":"it-IT","@id":"https:\/\/llscenter.com\/what-is-high-tibial-osteotomy-what-you-need-to-know\/#primaryimage","url":"https:\/\/llscenter.com\/wp-content\/uploads\/2024\/10\/what-is-high-tibial-osteotomy-what-you-need-to-know-00.jpg","contentUrl":"https:\/\/llscenter.com\/wp-content\/uploads\/2024\/10\/what-is-high-tibial-osteotomy-what-you-need-to-know-00.jpg","width":1000,"height":500},{"@type":"BreadcrumbList","@id":"https:\/\/llscenter.com\/what-is-high-tibial-osteotomy-what-you-need-to-know\/#breadcrumb","itemListElement":[{"@type":"ListItem","position":1,"name":"Anasayfa","item":"https:\/\/llscenter.com\/"},{"@type":"ListItem","position":2,"name":"What is High Tibial Osteotomy? What You Need to Know"}]},{"@type":"WebSite","@id":"https:\/\/llscenter.com\/#website","url":"https:\/\/llscenter.com\/","name":"LLS Center","description":"","potentialAction":[{"@type":"SearchAction","target":{"@type":"EntryPoint","urlTemplate":"https:\/\/llscenter.com\/?s={search_term_string}"},"query-input":{"@type":"PropertyValueSpecification","valueRequired":true,"valueName":"search_term_string"}}],"inLanguage":"it-IT"},{"@type":"Person","@id":"https:\/\/llscenter.com\/#\/schema\/person\/0c81546343315566182df14c4d86f045","name":"Sercan YAZAR","url":"https:\/\/llscenter.com\/it\/author\/sercan-yazar\/"}]}},"_links":{"self":[{"href":"https:\/\/llscenter.com\/it\/wp-json\/wp\/v2\/posts\/786","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/llscenter.com\/it\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/llscenter.com\/it\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/llscenter.com\/it\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/llscenter.com\/it\/wp-json\/wp\/v2\/comments?post=786"}],"version-history":[{"count":7,"href":"https:\/\/llscenter.com\/it\/wp-json\/wp\/v2\/posts\/786\/revisions"}],"predecessor-version":[{"id":794,"href":"https:\/\/llscenter.com\/it\/wp-json\/wp\/v2\/posts\/786\/revisions\/794"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/llscenter.com\/it\/wp-json\/wp\/v2\/media\/788"}],"wp:attachment":[{"href":"https:\/\/llscenter.com\/it\/wp-json\/wp\/v2\/media?parent=786"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/llscenter.com\/it\/wp-json\/wp\/v2\/categories?post=786"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/llscenter.com\/it\/wp-json\/wp\/v2\/tags?post=786"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}