Editorial Commentary: High Tibial Osteotomy and Distal Femoral Osteotomy Address Biologics and Biomechanics.

Osteotomies were historically a common treatment for knee osteoarthritis. This has given way to arthroplasty in many patients. However, osteotomies are still an excellent treatment for younger patients with malignment and joint pain. High tibial and distal femoral osteotomy are both mechanical and biological surgeries. Osteotomies about the knee result in both mechanical correction and modulation of the inflammatory environment in the joint resulting from correction of malalignment. This reinforces their importance in the treatment of the knee joint as an organ in which a complex interplay of factors is required for homeostasis. Osteotomy is a critical part of comprehensive treatment of young patients with knee pain, malignment, and cartilage disorders.