J Korean Orthop Assoc.  2014 Apr;49(2):85-94. 10.4055/jkoa.2014.49.2.85.

Basic Principles and Current Trends of Medial Opening-Wedge High Tibial Osteotomy

  • 1Department of Orthopaedic Surgery, Korea University Anam Hospital, Korea University College of Medicine, Seoul, Korea. oshan@korea.ac.kr


High tibial osteotomy (HTO) is a popular surgical procedure for osteoarthritis of the knee with varus deformity. In general, HTO has shown sufficient clinical outcomes with careful patient selection and correct surgical technique. Among various surgical techniques, medial opening-wedge and lateral closing-wedge HTO are widely used. This report includes basic principles and current trends in patient selection and preoperative evaluations and planning, operative technique, complications, and rehabilitation protocol in medial opening-wedge HTO.


knee; osteoarthritis; high tibial osteotomy; medial opening-wedge
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