Dr.karnav Panchal is a specialist in knee, hip, shoulder and elbow related problems. After completing his M.S. in orthopedics at B.J. Medical College, one of the prestigious institutes in India, he has been trained in the fields of joint replacement surgeries and sports injuries at Mumbai and South Korea.
For young and active patients with knee pain caused by early arthritis or alignment issues, a High Tibial Osteotomy (HTO) is a joint-preserving alternative to total knee replacement. Instead of replacing the joint, HTO realigns the leg to offload pressure from the damaged part of the knee, relieving pain and restoring function.
Dr. Karnav Panchal, a leading orthopedic surgeon in Ahmedabad, specializes in joint preservation surgeries like HTO — helping patients maintain their natural joint, stay active, and delay or avoid joint replacement.
High Tibial Osteotomy (HTO) is a surgical procedure that involves cutting and reshaping the upper part of the shinbone (tibia) to correct misalignment in the knee. It is particularly effective for:
Unicompartmental osteoarthritis (usually the medial/inner side)
Knee deformities like varus (bow-legged) alignment
Young, active patients with early cartilage damage
Patients too young or active for total knee replacement
HTO shifts the body weight away from the damaged area of the knee to the healthier part, reducing pain and slowing the progression of arthritis.
🌿 Preserves your natural joint
🏃 Ideal for active lifestyles and sports
🕒 Delays or prevents need for total knee replacement
🔄 Improves alignment and biomechanics of the knee
🦵 Relieves pain without replacing the joint
⚙️ Can be combined with cartilage restoration procedures (e.g. microfracture, ACI)
HTO is most effective for:
Patients aged 40–60 years
Unicompartmental (inner side) knee arthritis
Bow-legged deformity causing joint overload
Pain during walking or standing that improves with rest
Good range of motion and healthy ligaments
Those looking to stay active and postpone replacement
Dr. Karnav Panchal performs a thorough clinical and radiological evaluation (including X-rays and alignment scans) to assess candidacy for HTO.
A precise wedge cut is made in the upper tibia (shinbone)
The bone is opened (open wedge) or closed (closed wedge) to correct the angle
A metal plate or fixation device holds the new alignment in place
The body fills the gap with new bone as it heals
Post-surgery physiotherapy ensures full recovery and strength
With extensive experience in realignment surgeries and sports orthopedics, Dr. Panchal ensures:
Accurate deformity correction using digital planning tools
Minimally invasive techniques for reduced downtime
Personalized rehab protocols to restore mobility and strength
Integration of cartilage repair, PRP, or biologic therapy if needed
Dr. Karnav Panchal operates at leading hospitals in Ahmedabad featuring:
Advanced digital X-ray & planning systems
Modern operation theaters with infection control
Post-op physiotherapy and rehabilitation care
Personalized patient support throughout your journey
🛏️ Hospital stay: 2–3 days
🩼 Crutches: 4–6 weeks
🏃 Return to activity: 3–6 months
💼 Desk job: ~3 weeks
🧘♂️ Full rehab support ensures better outcomes
High Tibial Osteotomy (HTO) is a specialized surgery aimed at realigning the knee joint to offload pressure from the damaged cartilage, especially in the inner (medial) compartment of the knee. It helps preserve your natural knee, delay or avoid total knee replacement, and restore function in younger or active patients.
A small cut is made on the inner side of the tibia (shin bone)
A wedge is opened to correct the knee’s angle
A bone graft (natural or synthetic) is used to fill the gap
A metal plate is fixed to hold the new alignment
Preferred for medial compartment arthritis (bow-legged alignment)
✅ Common, safe, and accurate
✅ Allows precise correction with less bone removal
A wedge-shaped piece of bone is removed from the outer side of the tibia
The two ends are closed and fixed with a plate
Less commonly used but beneficial in select alignment cases
✅ Shorter healing time in some cases
✅ Better for patients with certain bone shapes
Uses digital planning and intraoperative guidance
Ensures precise correction of deformity angle
Reduces human error during alignment
✅ Higher accuracy and improved long-term outcomes
✅ Ideal for athletes or high-performance individuals
Often combined with procedures like:
Microfracture – To regenerate cartilage in damaged areas
OATS (Osteochondral Autograft Transfer System) – Transplant healthy cartilage
PRP or Stem Cell Therapy – Boost healing and reduce inflammation
✅ Better results when cartilage is also repaired
✅ Slows arthritis progression and protects joint surface
If meniscus damage is also present, HTO can be combined with:
Meniscus repair
Partial meniscectomy
Meniscus transplant (in select cases)
✅ Comprehensive joint preservation for multi-structure damage
Dr. Karnav Panchal operates in Ahmedabad’s top orthopedic hospitals equipped with:
Robotic-assisted surgery systems (where available)
Computer-navigated instruments
Infection-controlled surgical suites
Dedicated rehab and physiotherapy units
Minimal access surgical tools for microplasty
Dr. Karnav Panchal operates at top orthopedic hospitals in Ahmedabad, equipped with:
Advanced arthroscopy systems
Sterile surgical environments
Dedicated sports rehab facilities
Patient-centered care teams
Patients from Ahmedabad, Gandhinagar, Surat, Rajkot, Mehsana, Vadodara, and even from Rajasthan and Maharashtra, visit Dr. Panchal for high-quality hip replacement surgery.
HTO preserves your original joint by correcting misalignment. It’s ideal for younger, active patients, unlike replacement which removes the joint.
Yes. Most patients can return to sports, trekking, and active hobbies after full rehabilitation.
HTO can delay knee replacement by 10–15 years, depending on your activity and overall knee health.
Discomfort is minimal and well-managed with modern pain protocols. Patients typically walk with assistance within a few days.
Yes, in certain cases. However, it is usually done one leg at a time with adequate healing in between.
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