Mr Julian Leong
Private Consultant Orthopaedic Spinal Surgeon.
Clinical Director at RNOH Private Care.
Surgical Tutor
Speciality: Knee
High Tibial Osteotomy
Restoring mobility with precision and expertise. With RNOH Private Care, you can access top specialists who treat knee issues, including sports injuries, accidents, and arthritis.
If knee pain is limiting your movement, High Tibial Osteotomy (HTO) may help. This procedure realigns the knee joint by reshaping the tibia (shinbone), reducing pressure on damaged areas and delaying the need for knee replacement.
This procedure is for active patients with early-stage arthritis, HTO helps maintain mobility and improve joint function.
Patients can expect:
- Realignment of lower limb
- Improved function and mobility
- Reduced pain
- Delay in the need for a partial knee replacement
To learn more about the procedure, please get in touch with us at RNOH.
Book a consultation
Our Consultants
Meet Our Knee Specialists
Our specialist knee consultants are highly experienced in surgeries such as HTO, using the latest technology to provide personalised, high-precision care.
Meet our Consultants 
How can I pay for treatment?
01Insured patients
We have contracts with the majority of insurers to cover the costs of your treatment. Before you attend either an outpatient appointment or being admitted to RNOH Private Care you must get authorisation from your insurer.
You will need to check with them your policy limits or restrictions and whether RNOH Private Care is in their chosen network of hospitals. Please ensure you have all the relevant details regarding your insurance, including your membership or policy number, when having any contact with our team.
Please be aware that you will be responsible for costs not covered by your insurance policy, such as any medication or equipment you are given to go home with. Our team will discuss these with you.
02Self Pay patients
More information for Self Pay patients is available here.
03Payment Options
More information for Payment Options is available here.
Royal National Orthopaedic Hospital NHS Trust trading as Royal National Orthopaedic Hospital Private Care is an Appointed Representative of Chrysalis Finance Limited, which is authorised and regulated by the Financial Conduct Authority. Royal National Orthopaedic Hospital NHS Trust is a credit broker, not a lender. The provider of a payment scheme which is not offered through or by Chrysalis Finance Limited may not be so authorised and regulated.
04Third Party Sponsorship
Patients must provide an original signed letter from their sponsor which clearly outlines their acceptance of responsibility for payment of the patient’s account. This must be received and agreed by RNOH Private Care prior to the appointment or admission date.
05Embassy Sponsorship
RNOH Private Care has excellent relationships with embassies. If you are a government sponsored patient your embassy will need to issue a letter of guarantee to cover the cost of your treatment. We must receive this letter before your appointment date to enable treatment to go ahead.
06Cheques and Credit/Debit Card
All payments must be made in pounds sterling (£).
- Personal Cheques and Bankers Drafts should be made payable to ‘Royal National Orthopaedic Hospital NHS Trust’. Personal cheques can only be accepted if received in advance in order for the funds to be cleared.
- We accept all major credit cards, however, we are unable to accept Diners or Amex.
- Outstanding accounts are monitored and reviewed regularly.
07What are your terms & conditions?
Information about our Terms and Conditions is available here.
Your path to accessing our services starts with a simple step – contacting us.
Contact usNew patient & referrals
+44 (0)20 8909 5114
Email
rnoh.pcenquiries@nhs.net
All other enquiries
+44 (0)20 3947 0049
FAQs
01Who qualifies for a HTO?
This procedure is ideal for younger, active patients with knee arthritis or misalignment who want to delay knee replacement and maintain mobility.
02What is the process?
During the procedure, a small incision is made on the tibia, just below the knee joint. A wedge of bone is removed to adjust the knee’s angle, based on precise measurements. The gap is filled with a bone graft, and a metal plate with screws holds the tibia in place as it heals, reducing pressure on the damaged area of the knee.
03What are the benefits?
Benefits of this procedure post-operation includes:
- Relieves knee pain by redistributing weight
- Preserves your natural knee
- Delays knee replacement
- Supports an active lifestyle
04Are there any risks?
While generally safe, risks can include infection, blood clots, and incomplete bone healing. Our specialists at RNOH will closely monitor recovery.
If you have any concerns about HTO, please contact us for more information.
05How soon can I return to normal activities?
Most patients resume light activities within 6-8 weeks, with full function returning over a few months. However, this can also depend on a variety of factors.