Role of high tibial osteotomy in chronic injuries of posterior cruciate ligament and posterolateral corner.

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Abstract

[Indexed for MEDLINE] 10. Clin Sports Med. 2026 Jan;45(1):113-125. doi: 10.1016/j.csm.2025.02.004. Epub 2025 Apr 7. Lateral Closing Wedge High Tibial Osteotomy-Technique and Outcomes. Rocca MS(1), Grandberg C(2), Lucidi GA(3), Thiel B(4), Runer A(4), Zaffagnini S(5), Musahl V(2). Author information: (1)Department of Orthopaedic Surgery, UPMC Freddie Fu Sports Medicine Center, University of Pittsburgh Medical Center, 3200 South Water Street, Pittsburgh, PA, 15203, USA. Electronic address: michaelroccamd@gmail.com. (2)Department of Orthopaedic Surgery, UPMC Freddie Fu Sports Medicine Center, University of Pittsburgh Medical Center, 3200 South Water Street, Pittsburgh, PA, 15203, USA. (3)Clinica Ortopedica e Traumatologica 2, IRCCS Istituto Ortopedico Rizzoli, Via Pupilli, 1, 40136, Bologna, Italy. (4)Department of Sports Orthopaedics, Technical University of Munich, Ismaninger Str. 22, 81675 Munich, Germany. (5)II Clinica Ortopedica e Traumatologica, IRCCS Istituto Ortopedico Rizzoli, Via G. C. Pupilli 1, Bologna 40136, Italy. Lateral closing wedge high tibial osteotomy (LCW-HTO) is a powerful surgical technique to treat symptomatic varus deformity of the knee, particularly when associated with medial compartment osteoarthritis, meniscal injuries, or cartilage defects. Realigning the mechanical axis, a wedge of bone is removed from the lateral side of the tibia, shifting the load away from the potentially damaged medial compartment. When performed and indicated correctly, this procedure provides significant improvement in pain and function, and a delay in the need for knee arthroplasty. This review discusses the indications, techniques, outcomes, advantages, and disadvantages of LCW-HTO for treating varus knee deformity. Copyright © 2025 Elsevier Inc. All rights reserved. DOI: 10.1016/j.csm.2025.02.004