How we do the osteotomies and the results

In this video, Dr. Grant Garcia continues his series on osteotomies by breaking down the specific types of procedures performed, how they work structurally,

Here is a summary of the description and key points discussed in the video:

• High Tibial Osteotomy (HTO): This procedure is typically performed on the shin bone (tibia) for patients who are bow-legged. Dr. Garcia uses a "green stick" analogy, where the bone is partially cut on one side and gently wedged open while keeping the opposite side attached to straighten the leg. It is highly effective for patients under 55 who have medial meniscus tears or early arthritis on the inside of the knee, boasting a 90% success rate that can last up to 15 years.
• Distal Femoral Osteotomy (DFO): For patients who are knock-kneed, the alignment correction is made by cutting the thigh bone (femur) instead of the shin bone. Dr. Garcia highlights this as an excellent alternative for patients in their 40s and 50s with isolated arthritis on the outside (lateral side) of the knee, especially since partial knee replacements on the outer side are less common and typically don't perform as well.
• Tibial Tubercle Osteotomy (TTO): This highly specialized variation targets the bony bump below the kneecap where the patellar tendon attaches. By cutting and shifting this bone fragment, the surgeon can move the kneecap down, over, or up. This multi-directional adjustment stops chronic kneecap dislocations and successfully offloads pressure from damaged cartilage areas.