Editorial Commentary: Knee Preoperative Medial Laxity May Result in Overcorrection or Varus Recurrence After Open-Wedge High Tibial Osteotomy

Abstract

The long-term results of high tibial osteotomy (HTO) depend mainly on postoperative alignment. However, under- or overcorrection can occur during and after surgery. Biomechanically, excessive overcorrection after HTO can potentially lead to unfavorable knee kinematics and increased shear stress at the joint surface. Fine tuning of the medial soft tissue during open wedge HTO is necessary for a satisfactory limb alignment.