Medial Opening Wedge High Tibial Osteotomy

The most widely spread and frequently performed osteotomy around the knee joint is the medial opening wedge high tibial osteotomy (mwHTO), a procedure that has managed to occupy a spotlight position as a powerful modality for the treatment of medial compartment gonalgia and degeneration [1–3]. The art is surely not in the technicality aspect of the procedure, but in correct patient selection. Therefore, the procedure would provide an elegant modality for the symptomatic patient with a constitutional metaphyseal varus of the proximal tibia. A few aspects are provided in the following chapter.