Knee realignment osteotomies have become increasingly important as an adjunct to unload the affected compartment and theoretically protect cartilage repair. Owing to preservation of bone stock, medial opening-wedge high tibial osteotomy has become a popular treatment of varus malalignment, while lateral distal opening-wedge osteotomy is increasingly being used as a surgical treatment for correcting valgus malalignment. This study describes the preoperative assessment, technical description, postoperative rehabilitation, and potential pitfalls of each of these 2 osteotomies. Based on the results from a limited number of studies, expected outcomes following combined realignment osteotomy and cartilage restoration procedures have been reviewed.
All Science Journal Classification (ASJC) codes
- Orthopedics and Sports Medicine