The coronal plane high tibial osteotomy. Part 1: A clinical and radiographic analysis of intermediate term outcomes Academic Article uri icon


MeSH Major

  • Fractures, Cartilage
  • Knee Injuries
  • Menisci, Tibial
  • Postoperative Complications
  • Wound Healing


  • The coronal plane high tibial osteotomy is a novel technique that is used to treat tibiofemoral malalignment. The authors hypothesize that the coronal plane high tibial osteotomy is (1) efficacious in treating both varus and valgus tibiofemoral malalignment; (2) does not alter the slope of the proximal tibia; and (3) does not alter the relationship between the patella and tibial tubercle. A retrospective review of 25 patients with tibiofemoral malalignment (19 varus/6 valgus) treated with a coronal plane osteotomy with a minimum of 2-year follow-up was performed. A Kaplan-Meyer survival curve was performed using knee arthroplasty and a Hospital for Special Surgery (HSS) knee score <70 as failure criteria. The Insall-Salvati ratio and the proximal tibial slope were measured. A p value of 0.05 was considered significant. At 60-month follow-up, knees with initial varus malalignment had an 84% survival rate using both knee arthroplasty and the HSS score as endpoints. Knees with initial valgus malalignment had an 84 and 60% survival rate using knee arthroplasty and the HSS score as endpoints, respectively. There was no statistically significant change in the Insall-Salvati ratio and proximal tibial slope after coronal plane osteotomy. The coronal plane osteotomy is efficacious in treating varus and valgus tibiofemoral malalignment and does not alter the patellar-tibial tubercle relationship or the posterior tibial slope [case series (level of evidence: IV)].

publication date

  • September 2007



  • Academic Article



  • eng

PubMed Central ID

  • PMC2504258

Digital Object Identifier (DOI)

  • 10.1007/s11420-007-9050-7

PubMed ID

  • 18751785

Additional Document Info

start page

  • 147

end page

  • 54


  • 3


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