Review ArticlesOsteotomy for the Early Varus Arthritic KneeParker, David A. FRACS; Viskontas, Darius G. FRCSCAuthor Information Royal North Shore Hospital, Sydney, Australia Reprints: Dr David A. Parker, FRACS, Level 1, The Gallery, 445 Victoria Ave, Chatswood, NSW 2067, Australia (e-mail: email@example.com). Sports Medicine and Arthroscopy Review: March 2007 - Volume 15 - Issue 1 - p 3-14 doi: 10.1097/JSA.0b013e3180303592 Buy Metrics Abstract High tibial osteotomy is a well-established procedure for the management of medial compartment arthritis that is currently experiencing a resurgence in popularity. A number of techniques have been described, with the ultimate goal of obtaining appropriate alignment to provide pain relief and functional improvement over a long-term period. Appropriate patient selection and careful surgical technique is necessary to achieve these goals with a minimal risk of complication. Newer technology such as computer navigation promises to improve the overall accuracy of the procedure. The need for alignment correction in combination with ligament reconstruction and chondral resurfacing surgery will increase the indications for this procedure. This article discusses the techniques available for high tibial osteotomy, the results and relative advantages of each, and the appropriate surgical technique to achieve optimal results while minimizing complications. © 2007 Lippincott Williams & Wilkins, Inc.