“…Many osteotomies were designed to address varus deformity (Oblique, V, Z, Inverted V, dome, closing and open wedge osteotomies). 1 , 2 , 3 , 4 Little attention has been paid to early correction of the medial plateau inclination, which is the other aspect of the deformity disturbing joint congruity. The posteromedial slope of the tibial plateau contributes to the varus instability and internal rotation of the limb.…”