In recent years there has been an increasing interest in high tibial osteotomy (HTO) to treat patients with chronic knee instability due to posterolateral corner (PLC), posterior cruciate ligament (PCL), and anterior cruciate ligament (ACL) insufficiencies with concurrent malalignment in the coronal and/or sagittal plane.

The purpose of this study was to perform a systematic review of the use of HTO for the treatment of knee ligament instability with concurrent malalignment.

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