Cost of High Tibial Osteotomy for O-Shape Legs: What to Expect - Orthopedics

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Cost of high tibial osteotomy?


Hello Doctor, I would like to ask about my severe bow legs, which have caused discomfort in my knees in recent years.
I have researched online and learned that high tibial osteotomy can help improve alignment.
I would like to know, if I opt for a self-funded plate, what would be the total cost of the surgery? I saw in previous articles that it mentioned over a hundred thousand, is this the cost for one leg? Additionally, would you recommend having one leg done at a time or both legs together? Thank you.

Wei Ge, 40~49 year old female. Ask Date: 2024/01/17

Dr. Wang Shouji reply Orthopedics


You can come to the outpatient clinic for a detailed evaluation.

Reply Date: 2024/01/17

More Info


High Tibial Osteotomy (HTO) is a surgical procedure designed to correct alignment issues in the knee, particularly in individuals with O-shaped legs (genu varum). This condition can lead to discomfort and pain in the knees due to uneven weight distribution, which can ultimately affect mobility and quality of life. If you are considering this surgery, understanding the costs and logistics involved is crucial.


Cost of High Tibial Osteotomy
The cost of HTO can vary significantly depending on several factors, including the hospital, the surgeon's fees, and whether you opt for self-pay or insurance coverage. Generally, the total cost for HTO can range from approximately $10,000 to $30,000. This estimate typically includes pre-operative consultations, the surgery itself, anesthesia, and post-operative care.
When you mention "十多萬" (ten-plus thousand), this likely refers to the cost in local currency, which translates to a similar range in USD. It’s important to clarify that this estimate usually pertains to one leg. If you are considering surgery on both legs, the costs could potentially double, although some hospitals may offer a discount for simultaneous surgeries.


Self-Pay Options and Materials
If you choose to use self-pay titanium plates for fixation, the cost may increase slightly due to the material's quality and durability. Titanium is preferred in orthopedic surgeries for its strength and biocompatibility. The price for the titanium plate itself can vary, but it is often included in the overall surgical fee.

Surgical Considerations: One Leg vs. Two Legs
Regarding whether to operate on one leg or both, this decision should be made in consultation with your orthopedic surgeon. Operating on both legs simultaneously can be beneficial as it may reduce the overall recovery time and allow for a more balanced post-operative rehabilitation. However, it also means a longer surgery and potentially more significant immediate post-operative discomfort.
If you opt to have the surgery done on one leg first, you will need to consider the recovery time before addressing the second leg. Recovery from HTO typically involves a period of limited weight-bearing followed by physical therapy to regain strength and mobility.

Recovery and Rehabilitation
Post-surgery, you can expect a recovery period of several months. During this time, you will likely need physical therapy to help restore function and strength to your knee. The rehabilitation process is crucial for achieving the best outcomes, and adherence to your physical therapist's recommendations will be essential.


Conclusion
In summary, the cost of High Tibial Osteotomy for O-shaped legs can range from $10,000 to $30,000, typically covering one leg. If you are considering surgery on both legs, it is advisable to discuss this with your surgeon to weigh the benefits and risks. The choice of materials, such as titanium plates, can influence the overall cost, but they are often included in the surgical fees. Ultimately, a thorough discussion with your orthopedic specialist will provide you with the best guidance tailored to your specific situation, ensuring that you make an informed decision regarding your health and well-being.

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