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Jacobi M et al. – Open–wedge high tibial osteotomy for varus osteoarthritis of the knee is a successful treatment option, but is associated with potential intraoperative complications, jeopardizing outcome. The authors describe four technical hints avoiding complications as tibia plateau fracture, lateral hinge dislocation, over– and undercorrection, and unwanted increase of the posterior tibial slope and axial malrotation. The technique, which is primarily based on placing five Kirschner–wires is simple, reproducible, inexpensive, and readily available.

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