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

Sherafat Vaziri, Arash; Ahmadzadeh, Hossein; Hosseinzadeh, Nima · Arch Bone Jt Surg · 2025

expert_opinion · Level V

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Abstract

Medial open-wedge high tibial osteotomy (MOWHTO) is increasingly recognized as the preferred treatment option for active patients with varus malalignment and medial compartment osteoarthritis of the knee. This procedure aims to delay the degenerative process while alleviating pain and dysfunction. In this technical note, we aim to describe the tips and tricks for performing a safe MOWHTO, drawing on recent literature.

Anatomy