A 55-year-old male patient presented with bilateral knee osteoarthritis, with pain at rest and severe pain with walking for 3-4 months. Clinical examination revealed genu varus deformity of 20 degrees bilaterally, and flexion contractures of 15 and 5 degrees on the right and left knees respectively. Range of motion was limited from 15 to 110 degrees on the right and 5 to 115 degrees on the left. The doctor discussed total knee replacement but noted it may not be affordable or preferred for every patient. He proposed upper tibial osteotomy as a treatment option to correct deformities and relieve symptoms, questioning if it would allow the patient to walk with the acute correction and whether a future total knee replacement would still be possible

1. Case Discussion
Dr. Dinesh Thakkar M.S.(ortho.)
Long Life Hospital,
Nr. Paldi Cross Road,
Ahmedabad

2. Bilateral Osteoarthritis
• 55 years old male patient
• Pain in both knee since 8 to 9 years.
• C/o pain at rest & severe pain while walking since 3 to 4
months.
• Inability to squat or sit cross-legged.

3. Clinical Examination
Genu-varus of about 20-degree on both knee.
Flexion deformity of about 15-degree on right knee
& 5-degree on left knee.
ROM : 15-degree to 110-degree on right & 5-degree
to 115-degree on left knee.
No ligament laxity.
No other medical problem.

4. Pre - Operative

5. Which are Treatment Options ??
Total Knee Replacement ??
Every Patient can Not Afford it And not Preferred it.

6. Treatments
1. Upper Tibial Osteotomy

7. FAQ
• Will Upper Tibial Osteotomy correct all deformities?
• Will it relieve the symptoms?
• Will he able to walk with this much acute correction?
• What will be criticism from ORTHO COLLEAGES if it fail?
• Will total knee replacement be possible if it fails?

8. Post - Operative

9. Have Faith and Success will be Yours !!

10. X-rays after 8 years
right
left

11.  Meet our Happy Patients 
Pre-op.
Post-op.
Pre-op.
Post-op.

12. Message from the Doctor
Remember 3 Rules of Life :
1. Never
2. Never
3. Never
Give up !!