International Orthopaedics

, Volume 34, Issue 2, pp 155–160 | Cite as

Results of high tibial osteotomy: review of the literature

  • Annunziato Amendola
  • Davide Edoardo Bonasia


The aim of this review is to evaluate long-term follow-up and survival analysis studies regarding high tibial osteotomies (HTO) for the treatment of medial knee arthritis. Despite the good number of studies available, comparison and pooling of the results are challenging because of the different evaluation systems and techniques used. However, in general, published studies on HTO report good long-term results with a correct patient selection and a precise surgical technique. Based on our findings, the ideal candidate for an HTO is a young patient (<60 years of age), with isolated medial osteoarthritis, with good range of motion and without ligamentous instability. Furthermore, the literature review shows that the outcomes gradually deteriorate with time. Nevertheless, some issues remain that need resolution; these include the choice between opening or closing wedge tibial osteotomy, the graft selection in opening wedge osteotomies, the type of fixation, the comparison with unicompartmental knee arthroplasty and whether HTO significantly affects a subsequent total joint replacement.


High Tibial Osteotomy Unicompartmental Knee Arthroplasty Wedge Osteotomy Open Wedge High Tibial Osteotomy Open Wedge Osteotomy 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.


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Copyright information

© Springer-Verlag 2009

Authors and Affiliations

  1. 1.Orthopaedic SurgeryUniversity of Iowa Sports Medicine Center, University of Iowa Hospitals and ClinicsIowa CityUSA
  2. 2.University of Iowa Sports MedicineTurinItaly

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