Living with knee pain can be frustrating and limiting, especially if you’re an active individual. If arthritis or knee misalignment is stopping you from moving freely, knee realignment surgery (osteotomy) could be the solution.
Unlike knee replacement, osteotomy preserves your natural joint, restoring balance and reducing pain—without the need for artificial implants.
Led by Professor Adrian Wilson, a globally recognised expert in knee osteotomy, this advanced procedure realigns your leg, reducing pressure on damaged areas and promoting long-term joint health.
Using computer-guided precision and custom-designed surgical instruments, this technique allows patients to bear weight within 24 hours and experience a faster, more effective recovery.
Have knee arthritis that affects movement and causes pain.
Experience bow-legged (varus) or knock-kneed (valgus) misalignment.
Want to avoid or delay knee replacement surgery.
Are active and want to return to sports or exercise.
Need a stronger, more stable knee for long-term joint health.
If knee pain is limiting your life, this procedure could be the solution.
How osteotomy works: a personalised approach
Professor Wilson’s computer-aided osteotomy technique ensures precise alignment corrections tailored to your knee’s needs.
For bow-legged patients (varus knee) – Arthritis often damages the inner knee first. A high tibial osteotomy corrects this by realigning the shin bone, evenly distributing body weight across the knee.
For knock-kneed patients (valgus knee) – Arthritis often affects the outer knee. A femoral osteotomy corrects this by realigning the thigh bone, improving balance and function.
By targeting the root cause of knee pain, this technique protects your joint and prevents further damage, delaying or avoiding the need for knee replacement.
“I wanted to send a good news update that Prof Wilson and Mr Van Heerwarden might be interested in!
I played in a masters ITF tennis clay court event in Wimbledon last week and won the singles.
This is my first masters ITF since the double osteotomy surgery last year!”
Aldona
Danny, 26 years old, is very active.
He had a long long standing deformity with a significantly knocked knee. His knee cap has been sitting in the wrong position which has caused premature osteoarthritis of the knee cap area.
He underwent arthroscopy and a distal femoral medial closed wedge osteotomy.
The leg is now well aligned after the surgery and had minimum pain post osteotomy.
“Just wanted to drop you a note to thank you so much for operating on Danny last Friday. He is in such good form and surprisingly without pain, hardly so amazing. Genuinely appreciate you and Kristian doing what you do.
Best wishes, John”
Danny
I had three procedures carried out under the care of Professor Wilson in 2022. One was a lateral meniscus repair on my left knee, while the other two were high tibial closing wedge osteotomies on both knees. I could not recommend Professor Wilson and his supporting team highly enough. The quality of care was excellent and the communication both before and after each operation was first class.
Our surgical team are pioneers in the field of knee surgery, combining decades of experience with cutting-edge innovation to improve patient outcomes.
Patented surgical techniques
Our surgeons have developed and patented groundbreaking osteotomy methods that enhance precision and longevity. They’re part of a very small group of individuals that sit on the scientific advisory board for Newclip and other leading orthopaedic companies globally for Osteotomy surgery.
Our team has helped develop the plates that are now used commonly for this procedure and train other surgeons through an internationally recognised course all to deliver Osteotomy surgery for their patients.
Leaders in research & education
Our team publishes research in leading medical journals and trains surgeons worldwide in the latest surgical techniques.
Advancing knee replacement technology
We’re at the forefront of developing new implants and surgical approaches to deliver faster recovery, reduced pain, and better long-term function.
By choosing our expert team, you’re receiving world-class care from leading innovators in knee surgery.
Frequently asked questions about Osteotomy/leg realignment surgery
We accept many insurance companies, please contact us to discuss your specific case.
Yes, you can. We can book virtual consultations or you can come to our clinic in 9 Harley Street, London.
Our surgeons operate at both the Weymouth Street Hospital, 42-46 Weymouth St, London, W1G 6NP, or Cromwell Hospital, 164-178 Cromwell Rd, London SW5 0TU.
Some patients are able to go home the same day, whilst most stay overnight in hospital.
Our medical team will monitor your recovery, help manage pain, and ensure that you are able to safely bear weight on your leg before you are discharged.
Typically, patients can begin to bear weight on the operated leg within 24 hours, but you may need crutches for support for the first 4 to 6 weeks. The timeline for walking without crutches varies depending on individual recovery, but most patients are able to walk unaided within 6 to 8 weeks.
If your job is not physically demanding, you may be able to return to work after about 6 weeks. However, if your job involves manual labour or high levels of activity, you may need more time off or temporary work modifications. Most patients can resume normal daily activities within 6 to 12 weeks, depending on the intensity of those activities.
Osteotomy is designed to delay the need for a knee replacement, and in many cases, it can postpone it by 10 to 15 years. Some patients may eventually require a knee replacement, especially if arthritis progresses or if they experience significant wear and tear on the joint over time.
Yes, physical therapy is an important part of your recovery process. Starting as soon as the day after surgery, a rehabilitation plan will be developed to help restore strength, flexibility, and range of motion in your knee. Regular physical therapy sessions will continue for several weeks to ensure optimal recovery.
Post-surgery pain is managed with a combination of medication, including anti-inflammatories and pain relievers. Your anaesthetist will prescribe a pain management plan tailored to your needs. Most patients experience significant pain relief within a few days to weeks as they start rehabilitation and regain strength in the knee.
To discuss the pricing of surgery for your specific case, please get in touch with our dedicated admin team.
The information provided on this website is for informational purposes only and should not be considered medical advice. It is not intended to replace consultation with a qualified healthcare professional. While we strive to provide accurate and up-to-date information, medical knowledge is constantly evolving, and individual cases may vary. Any surgical or non-surgical treatments discussed on this website should be considered in consultation with a medical professional who can assess your individual needs and medical history.
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What to expect during recovery
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