Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Review
. 2018 Oct-Dec;9(4):300-306.
doi: 10.1016/j.jcot.2018.02.004. Epub 2018 Feb 10.

A critical appraisal of medial open wedge high tibial osteotomy for knee osteoarthritis

Raju Vaishya  1 , Anuj Raj Bijukchhe  1 , Amit Kumar Agarwal  1 , Vipul Vijay  1
Affiliations
Review

A critical appraisal of medial open wedge high tibial osteotomy for knee osteoarthritis

Raju Vaishya et al. J Clin Orthop Trauma. 2018 Oct-Dec.

Erratum in

Abstract

A medial open wedge high tibial osteotomy (MOWHTO) is an effective surgical procedure to correct varus deformity related to Knee Osteoarthritis. It consistently provides relief in knee pain and improves knee function. This technique is recommended for active, middle and old aged individuals with an isolated medial compartment knee OA. The MOWHTO scores several advantages over lateral closed wedge osteotomy and hence is now a preferred choice of HTO.

Keywords: Deformity; Genu varum; High tibial osteotomy; Knee joint; Osteoarthritis.

PubMed Disclaimer

Figures

Fig. 1
Fig. 1
X-Ray Anteroposterior (AP) view of left knee showing lateral closing wedge High tibial osteotomy (HTO) with Staples.
Fig. 2
Fig. 2
X-Ray AP view of left knee showing medial open wedge HTO with tricalcium phosphate wedge.
Fig. 3
Fig. 3
X-Ray AP and lateral view of left knee showing medial open wedge HTO with Staples and graft.
Fig. 4
Fig. 4
X-Ray AP and lateral view of right knee showing medial open wedge HTO with OTIS-C plate with bone graft.
Fig. 5
Fig. 5
X-Ray AP and lateral view of left knee showing medial open wedge HTO with Tomofix plate and bone graft.
Fig. 6
Fig. 6
X-Ray AP view of left knee showing medial open wedge HTO with bone graft and Pudu plate.
Fig. 7
Fig. 7
Clinical picture showing preop and postop after MOWHTO of a female patient with unicompartmental medial Knee OA.
See this image and copyright information in PMC

References

    1. Wolfe S.A., Brueckmann F.R. Conservative treatment of genu valgus and varum with medial/lateral heel wedges. Indiana Med. 1991;84:614–615. - PubMed
    1. Brouwer R.W., Huizinga M.R., Duivenvoorden T. Osteotomy for treating knee osteoarthritis. Cochrane Database Syst Rev. 2014;12 [CD004019] - PMC - PubMed
    1. Asik M., Sen C., Kilic B. High tibial osteotomy with Puddu plate for the treatment of varus gonarthrosis. Knee Surg Sports Traumatol Arthrosc. 2006;14:948–954. - PubMed
    1. Bode G., von Heyden J., Pestka J. Prospective 5-year survival rate data following open-wedge valgus high tibial osteotomy. Knee Surg Sports Traumatol Arthrosc. 2015;23:1949–1955. - PubMed
    1. Arthur A., LaPrade R.F., Agel J. Proximal tibial opening wedge osteotomy as the initial treatment for chronic posterolateral corner deficiency in the varus knee: a prospective clinical study. Am J Sports Med. 2007;35:1844–1850. - PubMed