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Domed (cupola) tibial osteotomy in the treatment of decompensated arthrosis secondary to genu varum.

Decompensated arthrosis secondary to genu varum is always a severely disabling condition. In English speaking countries there is an increasing trend towards prosthetic replacement surgery, but the present paper aims to show that valgising tibial osteotomy is still a valid form of treatment. The authors also discuss the various techniques that have been used and describe the advantages and results of their own preferred technique of "domed" osteotomy.