# Bilateral Inverted V-shaped High Tibial Osteotomy: A Case Report

## TL;DR

A young patient with bilateral knee deformity underwent staged reverse V-shaped tibial osteotomy surgeries, achieving successful correction despite complications on one side.

## Contribution

The study presents a novel application of reverse V-shaped high tibial osteotomy as an effective alternative to knee replacement for varus deformities.

## Key findings

- The patient achieved successful correction and bone consolidation despite an infection on the left side.
- Reverse V-shaped osteotomy provided satisfactory functional outcomes compared to other techniques.
- Preoperative planning was crucial for determining specific correction angles for each knee.

## Abstract

The article describes the case of a young patient with bilateral genu varum deformity, limiting her mobility. The therapeutic decision was a staged reverse V-shaped tibial osteotomy on both knees at a six-month interval. The surgery faced infectious complications on the left side, requiring additional treatment. Despite this, the patient achieved successful correction, with wound healing and bone consolidation. Preoperative planning was crucial, determining specific correction angles for each knee. The reverse V-shaped osteotomy demonstrated satisfactory functional outcomes compared to other techniques. The conclusion emphasizes the effectiveness of reverse V-shaped high tibial osteotomy (HTO) in addressing varus tibial deformities, providing an alternative before considering total knee arthroplasty. Multicenter studies and long-term evaluations are recommended to refine this surgical procedure.