Closing Verses Opening Wedge High Tibial Osteotomy: an Evidence-Based Review

This is a preview of subscription content, log in to check access.


  1. 1.

    Amendola A, Bonasia DE. Results of high tibial osteotomy: review of the literature. Int Orthop. 2010; 34(2): 155-160.

    PubMed Central  Article  PubMed  Google Scholar 

  2. 2.

    Brinkman JM, Lobenhoffer P, Agneskirchner JD, Staubli AE, Wymenga AB, van Heerwaarden RJ. Osteotomies around the knee: patient selection, stability of fixation and bone healing in high tibial osteotomies. J Bone Joint Surg (Br). 2008; 90(12): 1548-1557.

    Article  Google Scholar 

  3. 3.

    Brouwer RW, Bierma-Zeinstra SM, van Raaij TM, Verhaar JA. Osteotomy for medial compartment arthritis of the knee using a closing wedge or an opening wedge controlled by a puddu plate. A one-year randomised, controlled study. J Bone Joint Surg (Br). 2006; 88(11): 1454-1459.

    CAS  Article  Google Scholar 

  4. 4.

    Jackson JP, Waugh W. Tibial osteotomy for osteoarthritis of the knee. J Bone Joint Surg (Br). 1961; 43-B: 746-751.

    CAS  Google Scholar 

  5. 5.

    Luites JW, Brinkman JM, Wymenga AB, van Heerwaarden RJ. Fixation stability of opening- versus closing-wedge high tibial osteotomy: a randomised clinical trial using radiostereometry. J Bone Joint Surg (Br). 2009; 91(11): 1459-1465.

    CAS  Article  Google Scholar 

  6. 6.

    Magyar G, Ahl TL, Vibe P, Toksvig-Larsen S, Lindstrand A. Open-wedge osteotomy by hemicallotasis or the closed-wedge technique for osteoarthritis of the knee. A randomised study of 50 operations. J Bone Joint Surg (Br). 1999; 81(3): 444-448.

    CAS  Article  Google Scholar 

  7. 7.

    Magyar G, Toksvig-Larsen S, Lindstrand A. Open wedge tibial osteotomy by callus distraction in gonarthrosis. Operative technique and early results in 36 patients. Acta Orthop Scand. 1998; 69(2): 147-151.

    CAS  Article  PubMed  Google Scholar 

  8. 8.

    Smith TO, Sexton D, Mitchell P, Hing CB. Opening- or closing-wedged high tibial osteotomy: a meta-analysis of clinical and radiological outcomes. Knee. 2011; 18(6): 361-368.

    CAS  Article  PubMed  Google Scholar 

  9. 9.

    Song EK, Seon JK, Park SJ, Jeong MS. The complications of high tibial osteotomy: closing- versus opening-wedge methods. J Bone Joint Surg (Br). 2010; 92(9): 1245-1252.

    CAS  Article  Google Scholar 

  10. 10.

    Zorzi AR, da Silva HG, Muszkat C, Marques LC, Cliquet A Jr, de Miranda JB. Opening-wedge high tibial osteotomy with and without bone graft. Artif Organs. 2011; 35(3): 301-307.

    Article  PubMed  Google Scholar 

Download references


Conflict of Interest

Joseph J. Ruzbarsky, MD and David M. Dare, MD have declared that they have no conflict of interest. Robert G. Marx, MD, MSc, FRCSC reports book royalties from Demos and Springer.

Human/Animal Rights

This article does not contain any studies with human or animal subjects performed by the any of the authors.

Informed Consent


Required Author Forms

Disclosure forms provided by the authors are available with the online version of this article.

Author information



Corresponding author

Correspondence to Joseph J. Ruzbarsky MD.

Additional information

Work performed at Hospital for Special Surgery

Electronic Supplementary Material

Below is the link to the electronic supplementary material.


(PDF 1224 kb)


(PDF 1224 kb)


(PDF 1224 kb)

Rights and permissions

Reprints and Permissions

About this article

Verify currency and authenticity via CrossMark

Cite this article

Ruzbarsky, J.J., Dare, D.M. & Marx, R.G. Closing Verses Opening Wedge High Tibial Osteotomy: an Evidence-Based Review. HSS Jrnl 11, 291–293 (2015).

Download citation


  • high tibial osteotomy
  • review