Abstract: High tibial osteotomy is an option for the treatment of unilateral osteoarthritis of the knee joint in order to relieve pain, improve function, delay knee replacement and preserve high levels of activity in patients. The key to the success of osteotomy is to select patients strictly, comprehensive medical history and physical examination, precise preoperative planning, at the same time, skilled surgical techniques are required as a guarantee. The use of appropriate fixation techniques and rehabilitation treatment schedule can help to achieve long-term good results. This article reviews the indications for high tibial osteotomy, patient selection, preoperative planning, surgical techniques, fixation methods,complications and clinical outcomes.

Key words: osteoarthritis, knee, arthroplasty, replacement, tibial, osteotomy