Fig. 7

A 66-year-old male patient showed left knee osteoarthritis with hip-knee-ankle angle 8.4° genu varum deformity. The ankle joint line obliquity was 2.12°. B The conventional mechanical axis after opening-wedge high tibial osteotomy (OWHTO). C The true mechanical axis after OWHTO. D. The postoperative weight-bearing line (WBL) ratio in the hip-to-talus radiograph after OWHTO was 59.2%, and that of the WBL ratio in the hip-to-calcaneus radiograph after OWHTO was 72.2%. The true mechanical axis showed more lateral position compared to the conventional mechanical axis after OWHTO