Opening-wedge high tibial osteotomy
The proximal tibia osteotomy has been used as an effective treatment for cartilage injuries of the knee for nearly three-quarters of a century. Since its initial description, several advancements have been made in our diagnostic, pre-operative planning, and technical execution of this procedure. Furthermore, good to excellent short-, mid-, and long-term outcomes have been reported in the literature. Perhaps the most important step in deciding on this procedure is identifying the ideal candidate. Indications may vary slightly, but the ideal candidate should be a young patient (less than 60 years old), active, with isolated medial compartment arthrosis without significant comorbidities. With appropriate patient selection and careful pre-operative planning, the patient should achieve excellent results and high satisfaction.
