Figure 3.

Medial open wedge valgus producing high tibial osteotomy. A: Extremity alignment study of a 47-year-old male with bilateral knee pain and varus deformity. He was told that the best option for his knee would be bilateral total knee replacement when he would get older. He is currently not able to stand on his feet to perform the activities of his daily living. B: Patient underwent a staged treatment for his lower extremities. Initially he was submitted to a left high tibial osteotomy. After complete recovery of this surgical procedure, he received a right high tibia osteotomy. Patient was able to resume his professional activities with minimal discomfort in his lower limbs, improved gait pattern, and improved alignment of the lower limbs.