High Tibial Osteotomy Wheeless

Description: - indications for HTO:
- associated conditions:
- posterolateral corner deficiency
- osteoarthritis of the knee:
- motivation for procedure:
- narrowed medial cartilaginous space may regenerate (and associated degenerative features may reverse) if weight bearing stresses are partially shifted from the medial to the lateral side of the knee (shifting the mechanical axis from relative varus to valgus);
- results of osteotomy about the knee are most dependent on the limb alignment and joint line inclination after surgery;
Wheeless' Textbook of Orthopaedics