Knee osteoarthritis is often a progressive and irreversible degenerative process. High tibial osteotomy is a widely accepted and performed procedure to treat medial knee arthritis. However, precise indication, preoperative planning, and operative technique selection are essential to achieving good results. This article briefly discusses the significance of indications, patient’s selection, and preoperative assessment regarding high tibial osteotomy.
High tibial osteotomy (HTO) is a common procedure in orthopedic surgery and is intended to transfer the mechanical axis from medial to slightly lateral to the midline of the knee to decrease the load and subsequently delay osteoarthritis. So far, various techniques such as closing wedge, opening wedge, dome, and chevron osteotomies, have been described but lateral closing and medial open wedge HTO are the most commonly used. Lateral closing…