The role of osteotomy 2003: Defining the niche

Although the use of traditional high tibial osteotomy in the unicompartmental osteoarthritic knee has declined due to high failure rates at 10 years, results that are generally poorer than total and unicompartmental arthroplasty, and difficulties with conversion to TKR, a potential role for osteotomy still exists. As long-term data becomes available to support or refute the renewed enthusiasm in the more modern techniques and applications, the indications for osteotomies about the knee will become better defined.