Orthopaedic surgery is a branch of medicine that deals with the correction of deformities or functional impairments of the skeletal system, including the bones, joints, and muscles. It is a field that requires not only technical expertise but also a deep understanding of patient care and post-operative recovery. In Prayagraj, one name stands out when it comes to orthopaedic surgery—Dr. Prashant Tripathi. With years of experience, a wealth of knowledge, and a compassionate approach to patient care, Dr. Tripathi has earned his reputation as the most trusted orthopaedic surgeon in the region. This detailed account delves into his journey, his expertise, and his exceptional contributions to the field of orthopaedic surgery, with a specific focus on High Tibial Osteotomy (HTO) surgery.

Understanding HTO

High Tibial Osteotomy (HTO) is a surgical procedure aimed at treating knee osteoarthritis, especially in younger, active patients. The surgery involves cutting the upper part of the tibia (shinbone) and realigning it to reduce the pressure on the arthritic part of the knee. By shifting the weight-bearing load from the damaged area to a healthier area, HTO can alleviate pain and improve knee function, thereby delaying the need for total knee replacement.

Indications for HTO
HTO is typically recommended for patients who have:

• Unilateral knee osteoarthritis: Osteoarthritis affecting only one side of the knee joint.
• Varus deformity: Bow-leggedness where the knee angles outwards.
• Preserved knee joint range of motion: Patients who can still move their knee joint fairly well.
• Desire to maintain an active lifestyle: Young or middle-aged patients who wish to continue engaging in sports or physical activities.

The Procedure
The HTO procedure involves the following steps:

• Preoperative Planning: Dr. Tripathi conducts a thorough assessment, including X-rays and MRI scans, to determine the extent of the deformity and the precise location for the osteotomy.

• Anesthesia: The patient is given either general or regional anesthesia to ensure comfort during the surgery.

• Incision and Exposure: A surgical incision is made over the upper part of the tibia to expose the bone.

• Osteotomy: Dr. Tripathi carefully cuts the tibia at the predetermined location. The bone is then realigned to correct the deformity.

• Fixation: The realigned bone is stabilized using metal plates and screws to ensure proper healing.

• Closure: The incision is closed, and the knee is bandaged.

Postoperative Care
Postoperative care is crucial for the success of HTO surgery. Dr. Tripathi provides detailed instructions to ensure a smooth recovery:

• Pain Management: Patients are prescribed pain relievers to manage postoperative pain.

• Physical Therapy: Rehabilitation exercises are essential to restore knee function and strengthen the surrounding muscles.

• Follow-up Appointments: Regular check-ups with Dr. Tripathi help monitor the healing process and address any concerns.

• Lifestyle Modifications: Patients are advised to avoid high-impact activities during the initial recovery period to prevent complications.