Osteotomy for Alignment (HTO/DFO) — Rehabilitation Protocol

Dr Jobe Shatrov
MBBS (Hons), BSc. (Physio). Grad. Dip. (Surgical Anatomy), FRACS, FAOrthoA
Orthopaedic Surgeon, Knee Surgery
Important: Weight-bearing and range depend on the procedure and fixation. Follow your written plan and X-ray review schedule.
This document provides a step-by-step rehabilitation pathway following high tibial osteotomy (HTO) and should be followed under the direction of a physiotherapist. It includes surgeon-specific guidance for weight-bearing, bracing, and early range-of-motion goals, then progresses through staged strengthening for the quadriceps, hips and core, balance and proprioception training, and gradual conditioning. Later phases cover return-to-running progressions, plyometrics, agility, and sport-specific drills, with timing tailored to your healing and functional milestones rather than a fixed timeline.
Your plan may differ. Follow the instructions you receive from Dr Shatrov.
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