How to Perform an Accurate and Safe Medial Open Wedge High Tibial Osteotomy; A Technical Note

Area of Science:

• Orthopedic surgery
• Biomechanics of the knee

Background:

• Medial compartment osteoarthritis and varus malalignment are common in active individuals.
• Medial open-wedge high tibial osteotomy (MOWHTO) is a recognized surgical intervention.
• The procedure aims to correct alignment and preserve the knee joint.

Purpose of the Study:

• To provide a technical guide on performing a safe Medial open-wedge high tibial osteotomy (MOWHTO).
• To highlight essential tips and tricks for successful MOWHTO surgery.
• To synthesize current literature for optimal surgical practice.

Main Methods:

• Review of recent scientific literature on MOWHTO.
• Description of surgical steps and techniques.
• Emphasis on safety considerations and potential pitfalls.

Main Results:

• Detailed procedural guidance for MOWHTO.
• Identification of critical technical elements for surgical success.
• Strategies to minimize complications and optimize joint preservation.

Conclusions:

• Safe and effective MOWHTO can delay knee degeneration and improve function.
• Adherence to specific technical guidelines is crucial for optimal patient outcomes.
• MOWHTO represents a valuable option for managing knee osteoarthritis in active patients.