Closing wedge HTO: Definition, Uses, and Clinical Overview
Closing wedge HTO is a realignment surgery around the upper tibia (shinbone) to change how forces pass through the knee. It removes a wedge-shaped piece of bone and closes the gap to shift the leg’s alignment. It is most commonly used for knee pain related to uneven loading in the medial (inner) compartment of the knee. It is one type of high tibial osteotomy (HTO) used in knee preservation care.