iBalance® HTO System

Highly specific to iBalance® implants, the iBalance HTO system creates a safety “envelope” with locked-in retractors, allowing the surgeon to create all cuts safely and reproducibly, while significantly reducing chances of neurovascular injury and lateral hinge fractures. The instruments also allow for alignment of the osteotomy to the sagittal and coronal planes to preserve tibial slope. Ideal for mastering high tibial osteotomies, the iBalance HTO system features a step-by-step guided technique to build confidence through safety and reproducibility.

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Highly specific to iBalance® implants, the iBalance HTO system creates a safety “envelope” with locked-in retractors, allowing the surgeon to create all cuts safely and reproducibly, while significantly reducing chances of neurovascular injury and lateral hinge fractures. The instruments also allow for alignment of the osteotomy to the sagittal and coronal planes to preserve tibial slope. Ideal for mastering high tibial osteotomies, the iBalance HTO system features a step-by-step guided technique to build confidence through safety and reproducibility.

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Educational Resources and Products

HTO Using the iBalance® Osteotomy System

Thomas M. DeBerardino, MD
Surgical Technique Videos | 27:00 | English | 03/09/2021 | VID1-001861-en-US A

iBalance® High Tibial Osteotomy and BoneSync™ Fast-Setting Cement

Eric J. Strauss, MD
Surgical Technique Videos | 07:39 | English | 03/12/2019 | VID1-000122-en-US A
iBalance® High Tibial Osteotomy (HTO) System
iBalance® High Tibial Osteotomy (HTO) System
Brochures | English | 09/27/2021 | LB1-0124-EN E
iBalance® Opening Wedge Osteotomy System Sizing Chart
iBalance® Opening Wedge Osteotomy System Sizing Chart
Reference Charts | English | 06/16/2014 | LR1-0124-EN B
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Surgical Technique Videos (3)

HTO Using the iBalance® Osteotomy System
HTO Using the iBalance® Osteotomy System
Thomas M. DeBerardino, MD
27:00 | English | 03/09/2021 | VID1-001861-en-US A
iBalance® High Tibial Osteotomy and BoneSync™ Fast-Setting Cement
iBalance® High Tibial Osteotomy and BoneSync™ Fast-Setting Cement
Eric J. Strauss, MD
07:39 | English | 03/12/2019 | VID1-000122-en-US A
A Five Chapter Approach to: Opening Wedge Osteotomy Utilizing the Arthrex iBalance® HTO System
A Five Chapter Approach to: Opening Wedge Osteotomy Utilizing the Arthrex iBalance® HTO System
Thomas Hackett, MD
14:12 | English | 03/31/2017 | VID1-01056-EN A

Surgical Technique Animations (2)

HTO Freecut Technique
HTO Freecut Technique
04:29 | English | 06/15/2018 | AN1-00219-EN B
iBalance® HTO
iBalance® HTO
06:54 | English | 03/09/2015 | AN1-00120-EN B

Surgical Technique Guides (3)


Brochures (5)


Case Presentation Videos (3)

Fresh Mega Patella Osteochondral Allograft
Fresh Mega Patella Osteochondral Allograft
Thomas M. DeBerardino, MD
09:31 | English | 08/22/2018 | VPT1-00972-EN A
BioUni® Osteochondral Allograft Transplant with iBalance® HTO
BioUni® Osteochondral Allograft Transplant with iBalance® HTO
Jeffrey A. Macalena, MD
04:53 | English | 07/10/2017 | VPT1-00765-EN A
BioUni™ OATS® with iBalance® HTO
BioUni™ OATS® with iBalance® HTO
Ned Amendola, MD
06:56 | English | 01/09/2017 | VPT1-00652-EN B

Orthopedia.com Video Links (1)

OTIF: Long-Term Outcomes and New Trends in High Tibial Osteotomy (HTO)
OTIF: Long-Term Outcomes and New Trends in High Tibial Osteotomy (HTO)
English | 02/21/2022 | LINK_VID1-003214-en-US A

Patient Education Animations (1)

HTO with iBalance® HTO System
HTO with iBalance® HTO System
03:57 | English | 06/22/2018 | PAN1-00120-EN F

Presentation Videos (6)

High Tibial Osteotomy to Correct Varus Malalignment
High Tibial Osteotomy to Correct Varus Malalignment
Matthew J. Matava, MD
21:31 | English | 01/11/2022 | VID1-002916-en-US A
Keeping HTO Safe and Simple
Keeping HTO Safe and Simple
Thomas M. DeBerardino, MD
09:04 | English | 03/15/2017 | VPT1-00841-EN A
iBalance® Proximal Tibial Osteotomy, Clinical & Radiologic Results
iBalance® Proximal Tibial Osteotomy, Clinical & Radiologic Results
Michael J. Stuart, MD
15:18 | English | 08/03/2015 | VPT1-00538-EN A
Lower Extremity Alignment Solutions
Lower Extremity Alignment Solutions
John J. Klimkiewicz, MD
21:35 | English | 10/21/2014 | VPT1-00362-EN A
iBalance® HTO
iBalance® HTO
Thomas M. DeBerardino, MD
16:53 | English | 11/14/2013 | VPT1-00042-EN A
iBalance® HTO
iBalance® HTO
Bruce A. Levy, MD
11:57 | English | 10/15/2013 | VPT1-0047-EN A

Reference Charts (2)


Scientific Updates (1)

High Tibial Osteotomy Scientific Update
High Tibial Osteotomy Scientific Update
English | 11/22/2023 | DOC1-000478-en-US E

Surgeon Segment Videos (1)

Treatment Options for Large Articular Cartilage Lesions
Treatment Options for Large Articular Cartilage Lesions
Brian J. Cole, MD, MBA | Jack Farr, MD
04:27 | English | 09/19/2016 | VID1-00741-EN A

White Papers (7)

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