Abstract
High tibial osteotomies were carried out by our method for the 17 knees including 11 osteoarthritis, 3 spontaneous osteonecrosis and 3 others.
The operations were carried out through medial approach. The varus deformity was corrected by a opening wedge osteotomy followed by fixation using plate and bone grafts taken from proximal part of the tibia, and the valgus deformity was corrected by closing wedge osteotomy, which were fixated by “Zuggurtung” method.
Follow-up study revealed that the 7 osteoarthritic knees were free from pain but the 4 knees were not improved, and the another 5 knees were improved. No complications were encountered.