EC Orthopaedics

The evolution of knee surgery over the last half-century has been marked by a striking shift in philosophy. From an era where high tibial osteotomy (HTO) was the workhorse for medial compartment osteoarthritis (MCOA) [1], the orthopaedic pendulum swung heavily towards arthroplasty. The allure of predictable pain relief, early mobility, and reproducible outcomes with unicompartmental and total knee arthroplasty (TKA) led many to declare osteotomy a fading chapter in knee surgery. Yet, the story has taken an unexpected turn.

Keywords: High Tibial Osteotomy; Medial Compartment Osteoarthritis; Varus Knee; Joint Preservation; Functional Outcome; Long-Term Survival

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