Quickfire questions on life before and after Osteotomy procedure.

So this blog is written by Priya. We met with my surgeon Mr Minhal Chatoo at the One Hatfield hospital on 8th May and he recommended Priya interviews me to share how life has changed pre- and post- Osteotomy.

Hi, Priya here. I thought of a bunch of questions to ask my dad about his progress.


This is Hertford Castle, near where we live and where we went for a walk.


How has the pain around your leg changed since the Osteotomy operation?
Every day and every week I notice that the pain is getting less. However I do notice new pains appearing. The swelling in my leg is still there but is gradually reducing. The Osteotemy does entail bone cutting, drilling, cutting deep into flesh, muscle and many nerves. It does take a long time for the healing process to complete.

What life changes have you made since your first diagnosis?

I have made an effort to lose weight and eat the right foods. I have cut down alcohol, sugar and some types of meat. I have had to stop jogging due to the impact on my knees however I have now started going to the gym more where I run on the treadmill, use the cross trainer and lift weights to strengthen my core. If I can lose more weight I may be able to run again.

How has the operation influenced your life now?

To be more aware of long term health. I know I cannot run as much or kick a football about as much, so I need to find new sports/pass times to get involved in. Also life is about longevity so doing the right exercise is key.

How might the operation impact others around you?

As his daughter I have seen a urge in my father to lose weight and really exercise more. The effect this has on me is that as a family we go out and walk in different new locations on a weekly basis. This is a more active effect on my life and it’s for the better, as we are also eating healthier and experimenting more activities.

How do you think you can help others?

If you are young enough and want to continue having an active life, there is an alternative to a knee replacement surgery. The operation does give you the chance to defer such an intrusive operation for a number of years. The psychological impact of getting your life back to a normal balance is very important.

Q &A How the Tibial Osteotomy became the recommended solution

I thought I would take time out from my diary blog in order to answer a bunch of questions that friends and family have asked me in the past.

Q: Was the cause a Sports Injury?

A: When I was younger, I was very active. Loved Martial Arts so trained 3-4 days a week; did this for over 12 years to a high level. I also played Soccer, Basketball for school, college and clubs. When I got older (into my 40’s) I took on Sprint Triathlons and 10k runs. The training takes its toll. Also I would consider myself overweight (or heavy boned 🙂 )

Q : You had an Arthroscopy and Debridement – thought that was the fix?

A: You would think that, but in effect brought on the pain more, my right leg became bow. (keyhole surgery where they wash lose cartilage from within the knee and shave some bone)

Q: Who recommended you for the tibial osteotomy?

A: I was undergoing Physiotherapy for my arthroscopy at the time and I complained the pain was getting worse. At this time, the physiotherapist recommended me to arrange a consultant session with a specialist, Mr Minhal Chatoo. He was doing some great work in surgeries that avoid having a knee replacement. I was referred to Mr Chatoo.

Mr Minhal Chatoo, Consultant Surgeon

Q: What happened during the first meeting with Mr Chatoo

A : Prior to meeting with Mr Chatoo, I went for an MRI scan and a full leg X-ray (starting from my hip down to my foot – 2 X-rays merged to 1). Mr Chatoo analysed the X-ray.

On meeting with Mr Chatoo, he shared his diagnosis and then outlined the course of correction that an Osteotemy would provide and more importantly deferring a knee operation. He also shared success stories of his previous patients. He considered me as a candidate as I was young and capable of making the right recovery.

Q: At high level, what would the surgery entail?

A : I am no expert so can only share my recall…….Mr Chatoo used software to outline where a line of gravity should pass after surgery (A line should move from the hip, down the middle of the knee and to the middle of the ankle). There was a lot of wear and tear on the inside of my right leg/knee. As my leg was bow he showed me where the line of gravity was passing versus where it should be. To achieve this, he will cut my tibia and remove enough bone (in a triangle) to allow correction. Steel plates will be applied to allow the bone to grow back and straighten my leg and to conclusively reduce the pain caused the rheumatism. I was a borderline candidate but Mr Chatoo was confident of success.

Q: Why did you proceed with the Surgery, sounds painful

A: The surgeon, Mr Chatoo was the reason. He was caring, knowledgeable, confident and human. He has a great success rate and convinced me of a decent recovery.

Right, that’s it for now, I’ll post more in a few weeks. If you have questions, post them to me and I’ll add them to another post.

Arthoscopy compounding the underlying issue – Osteotomy the answer?

In early 2017 I underwent an Arthroscopy and debridement procedure on my right knee. Essentially they removed loose cartilage debris and to shave my knee bone where there were abnormalities. This was a symptom of the early onset of arthritis in the knee and a possible knee replacement in my later life.

Whilst i was undergoing physiotherapy, there was a noticeable remnant pain in my right inside leg. I was recommended later in the year to meet with a knee specialist. Physiotherapy outlined another issue with my knee. Loiza and the kids also noticed that after my leg surgery that my right leg was becoming more “bow” as well. I was unable to run, even on a treadmill and i added weight on.

Something had to be done. I met with the recommended Surgeon Mr Minhal Chatoo in Hitchin Hospital.

Mr Minhal Chatoo,  Consultant Orthopaedic Surgeon 

I underwent a MRI scan as well as a full leg X-ray. All this happened in November/December 2017. On meeting with Mr Chatoo, he recommended a Tibial
Osteotomy (https://orthoinfo.aaos.org/en/treatment/osteotomy-of-the-knee/).

Prior to having the surgery i looked for blogs, use cases of people who had undertaken this type of surgery so that i can understand this type of surgery- its very thin.