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Osteotomy

8 min read · Updated October 2026

Knee osteotomy explained: realignment to delay a replacement

How Mr Morapudi decides between keeping your own knee and replacing it, and what each means for recovery.
Mr Syam Morapudi, Consultant Orthopaedic Surgeon

Mr Syam Morapudi

Consultant Orthopaedic Surgeon · Hip & Knee

Full-length leg alignment X-rays on a clinic lightbox

Two ways to treat knee arthritis

When knee arthritis no longer settles with exercise, physiotherapy or injections, surgery may help. For some people the choice is between realigning the leg with an osteotomy and replacing the joint.

When an osteotomy may suit you

An osteotomy is usually considered when the wear is mainly on one side of the knee and the rest of the joint is healthy. It keeps your own joint, cartilage and ligaments, and suits some younger, active people.

Arthritis mainly on one side of the knee

Good movement in the knee

An active lifestyle you would like to keep

When a knee replacement may suit you

A total knee replacement is more often advised when arthritis affects several parts of the knee, or when the joint is stiff and painful at rest.

The right operation depends on the pattern of wear, your alignment and what you want to get back to.

Recovery compared

Both operations need a period of physiotherapy. After an osteotomy the bone needs time to heal, so you may use crutches for longer. After a knee replacement most people walk with support the day after surgery.

This article is general information and does not replace a consultation. Mr Morapudi will discuss the options that suit you.

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Mr Syam Morapudi, Consultant Orthopaedic Surgeon

Mr Syam Morapudi

MBBS, MRCS, FRCS (Tr & Orth) · GMC 6061203

Consultant Orthopaedic Surgeon, hip and knee. Fellowship-trained in Melbourne.

Talk through your options

Appointments at Spire Regency, Spire Manchester and Spire Hale Clinic. Self-pay and insured patients welcome.

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