Maintaining an active lifestyle requires stable, well-aligned knees. When a patient suffers from both chronic ligament instability and early-stage medial compartment arthritis, a specialized “double” procedure is often the best path to recovery.
At Inova Hospital, our orthopedic team, led by Dr. Sudip Khanal, recently performed a successful combined High Tibial Osteotomy (HTO) and Anterior Cruciate Ligament Reconstruction (ACLR).
Understanding the Procedure: HTO + ACLR
For patients with bow-legged alignment (genu varum) and a torn ACL, performing only a ligament reconstruction often fails because the mechanical strain on the new ligament is too high. By combining these two surgeries, we achieve two critical goals:
- HTO (High Tibial Osteotomy): Realigns the leg to shift weight away from the damaged inner knee.
- ACLR (ACL Reconstruction): Restores stability to the knee joint.
Case Spotlight: Surgical Precision

The following X-ray images, demonstrate the successful surgical intervention. You can observe the precise placement of the medial opening wedge plate and the hardware used for the ACL graft fixation.
Refer to image for the post-operative alignment results.
Why Choose Inova Hospital for Orthopedic Surgery?
As a leading multi-specialty facility in Lazimpat, Kathmandu, Inova Hospital provides comprehensive surgical care using advanced orthopedic technology.
- Expert Surgeons: Dr. Sudip Khanal and our orthopedic team specialize in complex joint preservation and sports medicine.
- Tailored Recovery: We provide structured post-operative rosters and rehabilitation plans to ensure optimal healing.
- State-of-the-Art Care: From diagnosis to final recovery, we utilize modern imaging and surgical suites to deliver world-class results right here in Nepal.
Book Your Consultation
Don’t let knee pain or instability hold you back. Schedule an appointment with our specialists to discuss if joint preservation surgery is right for you.
- Location: Lazimpat, Kathmandu, Nepal
- Expert: Dr. Sudip Khanal
- Tags:
- Inova Hospital Kathmandu

