Evaluate patient's knee health through imaging tests
4
Finalize diagnosis of medial compartment knee osteoarthritis
5
Discuss the procedure with the patient
6
Approval: Patient's Consent for Surgery
7
Schedule date for surgery
8
Pre-operative preparation of the patient
9
Marking and positioning of the patient
10
Administration of anesthesia
11
Perform cutting of the tibia
12
Adjustment of knee alignment
13
Secure the osteotomy site
14
Check for correct alignment with imaging
15
Closing the incision
16
Post-operative imaging
17
Post-operation patient monitoring
18
Plan for physiotherapy
19
Review post-operative recovery
20
Discharge of the patient
Patient's medical history review
Review the patient's medical history to gather information about any previous injuries, medical conditions, or medications. This helps to understand the patient's overall health and identify any potential risks or complications during the high tibial osteotomy procedure.
Physical examination of the patient
Conduct a physical examination of the patient to assess the overall condition of the knee, range of motion, stability, and any signs of joint inflammation. This helps to determine the patient's suitability for the high tibial osteotomy procedure.
1
Check range of motion
2
Assess knee stability
3
Evaluate signs of inflammation
Evaluate patient's knee health through imaging tests
Perform imaging tests on the patient's knee, such as X-rays, MRI, or CT scans, to evaluate the bone structure, cartilage damage, and joint alignment. This aids in accurately diagnosing medial compartment knee osteoarthritis and planning the high tibial osteotomy procedure.
1
X-rays
2
MRI
3
CT scan
Finalize diagnosis of medial compartment knee osteoarthritis
Based on the patient's medical history, physical examination, and imaging test results, finalize the diagnosis of medial compartment knee osteoarthritis. This confirms the need for a high tibial osteotomy and helps in planning the procedure accordingly.
1
Medial compartment knee osteoarthritis
2
Other diagnosis
Discuss the procedure with the patient
Engage in a detailed discussion with the patient to explain the high tibial osteotomy procedure, its expected outcomes, potential risks, and possible alternatives. This helps the patient make an informed decision and address any concerns or questions they may have.
Approval: Patient's Consent for Surgery
Will be submitted for approval:
Discuss the procedure with the patient
Will be submitted
Schedule date for surgery
Coordinate with the patient and the surgical team to schedule a suitable date for the high tibial osteotomy procedure. Consider the availability of the operating room, the patient's preferences, and any other constraints.
Pre-operative preparation of the patient
Guide the patient through pre-operative preparations, including fasting instructions, medication adjustments, and necessary tests or evaluations. This ensures the patient is physically and mentally prepared for the high tibial osteotomy procedure.
1
Follow fasting instructions
2
Adjust medications as advised
3
Complete required tests or evaluations
Marking and positioning of the patient
Carefully mark and position the patient's leg and knee to ensure accuracy during the high tibial osteotomy procedure. Use appropriate guidelines, anatomical landmarks, and imaging references to determine the optimal positioning.
1
Identify anatomical landmarks
2
Use imaging references for guidance
3
Ensure accurate leg positioning
Administration of anesthesia
Administer anesthesia to the patient based on the planned approach (local or general anesthesia) for the high tibial osteotomy procedure. Monitor the patient's vital signs and reaction to anesthesia throughout the process.
1
Local anesthesia
2
General anesthesia
1
Heart rate
2
Blood pressure
3
Oxygen saturation
Perform cutting of the tibia
Perform an osteotomy, the surgical cutting of the tibia bone, to realign the knee joint and relieve pressure on the damaged medial compartment. Follow the planned approach, such as closing or opening wedge technique, while ensuring precision and minimal damage to surrounding tissues.
1
Closing wedge technique
2
Opening wedge technique
Adjustment of knee alignment
Realign and optimize the knee joint alignment using techniques like compressive forces, bone grafts, or specialized implants. This ensures appropriate load distribution and stability in the knee joint after the high tibial osteotomy procedure.
1
Apply compressive forces
2
Use bone grafts if required
3
Consider specialized implants if necessary
Secure the osteotomy site
Stabilize the osteotomy site using appropriate fixation methods, such as screws, plates, or external fixators. This promotes healing and prevents any unintended shifting or movement of the tibia during the high tibial osteotomy recovery.
1
Screws
2
Plates
3
External fixator
Check for correct alignment with imaging
Perform imaging tests, such as X-rays or intraoperative imaging, to confirm the correct alignment of the tibia and knee joint after the high tibial osteotomy surgery. This aids in assessing the procedure's success and making any necessary adjustments.
1
Perform X-rays
2
Use intraoperative imaging
Closing the incision
Close the surgical incision made for the high tibial osteotomy using appropriate sutures or adhesive materials. Ensure a secure closure to promote healing, prevent infections, and minimize scarring.
1
Sutures
2
Adhesive materials
1
Clean the incision site
2
Apply sterile dressing
3
Monitor for bleeding or signs of infection
Post-operative imaging
Perform post-operative imaging, such as X-rays or MRI, to evaluate the results of the high tibial osteotomy surgery, assess the alignment, and ensure proper healing. This helps in monitoring the patient's progress and identifying any complications.
1
X-rays
2
MRI
Post-operation patient monitoring
Monitor the patient's vital signs, pain levels, medication requirements, and overall recovery progress after the high tibial osteotomy. This involves regular check-ups, assessments, and addressing any post-operative complications or concerns.
1
Check vital signs
2
Assess pain levels
3
Review medication requirements
Plan for physiotherapy
Develop a tailored physiotherapy plan to facilitate the patient's rehabilitation and recovery after the high tibial osteotomy. This includes exercises, stretches, and mobility training to restore knee function, strength, and range of motion.
Review post-operative recovery
Evaluate the patient's post-operative recovery progress, including knee function, pain levels, and overall well-being. Address any concerns, provide necessary guidance, and make adjustments to the treatment plan or physiotherapy as required.
1
Assess knee function
2
Evaluate pain levels
3
Review overall well-being
Discharge of the patient
Prepare the patient for discharge from the healthcare facility after the high tibial osteotomy procedure. Provide comprehensive instructions for wound care, medications, follow-up appointments, and contact information for any concerns or emergencies.
