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Clinical planning knowledge

Osteotomy Planning Software for HTO and DFO

Planning of load-axis correction, target point, hinge, osteotomy geometry, correction angle and wedge height on standardized long-leg imaging.

More than 19 years of practical templating experienceExpert-led · browser-based · clinically structured
Practical definition

What professional planning software should actually do

Corrective osteotomy planning translates a deformity and a chosen correction target into a geometric surgical concept. The software should make the selected axis, hinge and wedge construction explicit so the plan can be understood and challenged before surgery.

The OrthoMetiQ osteotomy workflow is built to keep every geometric assumption visible rather than hiding the correction behind a single automatic number.

Questions the workflow must answer

  • Where is the deformity and which correction strategy is intended?
  • What is the preoperative load axis?
  • Which target point or target ratio is selected and why?
  • Where are osteotomy level and hinge defined?
  • What correction angle and wedge height result from the chosen geometry?

A traceable planning workflow

  1. 01

    Baseline axis

    Measure the mechanical axis on a complete, standardized weight-bearing long-leg image.

  2. 02

    Target definition

    Set the target according to diagnosis, compartment status and surgical strategy; do not use an automatic universal target.

  3. 03

    Osteotomy geometry

    Define cut level, hinge point and opening or closing direction.

  4. 04

    Correction calculation

    Calculate angle and wedge height from the selected construction.

  5. 05

    Plausibility review

    Check joint-line context, bone dimensions, hinge safety and whether additional sagittal or rotational information is required.

  6. 06

    Documentation

    Export baseline, target, geometry and correction values in a reviewable report.

Useful planning outputs

  • Preoperative mechanical axis
  • Correction target
  • Osteotomy and hinge geometry
  • Correction angle and wedge height
  • HTO/DFO planning report

Typical quality limits

  • Incomplete or non-weight-bearing long-leg imaging
  • A target selected without clinical context
  • Ignoring sagittal slope or rotational deformity
  • Geometric plan without implant/fixation context
  • Transferring calculated values without surgical verification
FAQ

Frequently asked questions

What is planned in HTO and DFO?

Planning defines baseline alignment, correction target, osteotomy level, hinge point, opening or closing wedge, and the resulting angle and wedge height.

Which imaging is required?

A standardized weight-bearing long-leg radiograph is typically required. Additional lateral or joint-specific views may be needed depending on the question.

Is the correction target the same for every patient?

No. The target depends on diagnosis, cartilage and joint status, anatomy, surgical technique and the individual operative strategy.

What does the planning report document?

It records baseline alignment, landmarks, target, correction angle, wedge height and the selected planning geometry.

Experience behind OrthoMetiQ

Bastian Pesl

Founder of OrthoMetiQ and specialist in digital preoperative planning workflows, implant templating and orthopedic software. The content is based on nearly two decades of direct professional experience with planning systems, implant libraries and clinical users.

About expertise and methodology
OrthoMetiQ WebPlanner

Turn clinical planning questions into a structured digital workflow

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