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.

View More

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.

View More
Request Product InfoView Scientific Evidence

Educational Resources and Products

Featured Resources
All 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
View All Resources
Videos
(16)
arrow_drop_down
Videos
Documents
(13)
arrow_drop_down
Documents
English
(29)
arrow_drop_down
Languages
Clear All Filters

Surgical Technique Videos (3)

play_circle
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
play_circle
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
play_circle
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)

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

Surgical Technique Guides (3)

iBalance® HTO System for Medial High Tibial Opening Wedge Osteotomy
iBalance® HTO System for Medial High Tibial Opening Wedge Osteotomy
English | 10/15/2021 | LT1-0122-EN H
High Tibial Osteotomy Hinge Pin System
High Tibial Osteotomy Hinge Pin System
English | 07/12/2021 | LT1-00077-EN A
Système d’OTV iBalance® pour ostéotomie d’ouverture tibiale interne
Système d’OTV iBalance® pour ostéotomie d’ouverture tibiale interne
French | 12/14/2011 | LT0122F C

Brochures (5)

iBalance® High Tibial Osteotomy (HTO) System
iBalance® High Tibial Osteotomy (HTO) System
English | 09/27/2021 | LB1-0124-EN E
iBalance® HTO System FAQs
iBalance® HTO System FAQs
English | 10/22/2013 | LS1-0122-EN B
iBalance® Système d'OTV
iBalance® Système d'OTV
French | 12/14/2011 | LB0124F B
Système d'OTV iBalance® pour ostéotomie d’ouverture tibiale interne Guide de montage de l'ancillaire
Système d'OTV iBalance® pour ostéotomie d’ouverture tibiale interne Guide de montage de l'ancillaire
French | 12/14/2011 | LB0122F A
iBalance® HTO System for Medial High Tibial Opening Wedge Osteotomy
iBalance® HTO System for Medial High Tibial Opening Wedge Osteotomy
English | 11/09/2010 | LB1-0122-EN B

Case Presentation Videos (3)

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

Patient Education Animations (1)

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

Presentation Videos (6)

play_circle
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
play_circle
Keeping HTO Safe and Simple
Keeping HTO Safe and Simple
Thomas M. DeBerardino, MD
09:04 | English | 03/15/2017 | VPT1-00841-EN A
play_circle
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
play_circle
Lower Extremity Alignment Solutions
Lower Extremity Alignment Solutions
John J. Klimkiewicz, MD
21:35 | English | 10/21/2014 | VPT1-00362-EN A
play_circle
iBalance® HTO
iBalance® HTO
Thomas M. DeBerardino, MD
16:53 | English | 11/14/2013 | VPT1-00042-EN A
play_circle
iBalance® HTO
iBalance® HTO
Bruce A. Levy, MD
11:57 | English | 10/15/2013 | VPT1-0047-EN A

Reference Charts (2)

iBalance® Opening Wedge Osteotomy System Sizing Chart
iBalance® Opening Wedge Osteotomy System Sizing Chart
English | 06/16/2014 | LR1-0124-EN B
iBalance® Opening Wedge Osteotomy System Abbreviated Surgical Technique Guide
iBalance® Opening Wedge Osteotomy System Abbreviated Surgical Technique Guide
English | 06/21/2013 | LR1-0122-EN B

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)

play_circle
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 (5)

Load-Bearing Features of the iBalance® Implant - A Technical Overview of how the iBalance® Implant Supports Compressive and Shear Loads in the Tibia
Load-Bearing Features of the iBalance® Implant - A Technical Overview of how the iBalance® Implant Supports Compressive and Shear Loads in the Tibia
English | 11/04/2010 | LA0124 A
The iBalance® HTO Opening Jack - A Technical Overview of Opening the Osteotomy with the iBalance® HTO Opening Jack
The iBalance® HTO Opening Jack - A Technical Overview of Opening the Osteotomy with the iBalance® HTO Opening Jack
English | 11/04/2010 | LA0126 A
Importance of Maintaining Tibial A/P Slope A Technical Overview of the Biomechanical Importance of Tibial Slope in High Tibial Osteotomy
Importance of Maintaining Tibial A/P Slope A Technical Overview of the Biomechanical Importance of Tibial Slope in High Tibial Osteotomy
English | 11/04/2010 | LA0127 A
Implant Sizing and Determination of Correction Angle: A technical overview of Arthrex’s iBalance® HTO approach to proximal tibial osteotomy - preoperative planning
Implant Sizing and Determination of Correction Angle: A technical overview of Arthrex’s iBalance® HTO approach to proximal tibial osteotomy - preoperative planning
English | 11/03/2010 | LA0123 A
Bi-Planar Alignment: A Technical Overview of Arthrex’s iBalance® HTO Approach to Alignment of the Osteotomy-to-Patient Anatomy
Bi-Planar Alignment: A Technical Overview of Arthrex’s iBalance® HTO Approach to Alignment of the Osteotomy-to-Patient Anatomy
English | 11/03/2010 | LA0122 A

iBalance Instrument Set
AR-13400S

iBalance Instrument Set

HTO Hinge Pin EM Guide
AR-13440-01

HTO Hinge Pin EM Guide

HTO Hinge Pin EM Guide, Large
AR-13440-02

HTO Hinge Pin EM Guide, Large

OSferion Osteotomy Wedge, 7 mm
AR-13370-1

OSferion Osteotomy Wedge, 7 mm

OSferion Osteotomy Wedge, 10 mm
AR-13370-2

OSferion Osteotomy Wedge, 10 mm

OSferion Osteotomy Wedge, 12 mm
AR-13370-3

OSferion Osteotomy Wedge, 12 mm

OSferion Osteotomy Wedge, 15 mm
AR-13370-4

OSferion Osteotomy Wedge, 15 mm

OSferion Trapezoid, 8 x 25 x 7 mm x 75°
AR-13372-1

OSferion Trapezoid, 8 x 25 x 7 mm x 75°

OSferion Trapezoid, 9 x 25 x 7 mm x 75°
AR-13372-2

OSferion Trapezoid, 9 x 25 x 7 mm x 75°

OSferion Trapezoid, 10 x 25 x 7 mm x 75°
AR-13372-3

OSferion Trapezoid, 10 x 25 x 7 mm x 75°

Arthrex Quickset 5 cc Kit
ABS-3005

Arthrex Quickset 5 cc Kit

Arthrex Quickset 8 cc Kit
ABS-3008

Arthrex Quickset 8 cc Kit

Arthrex Quickset 16 cc Kit
ABS-3016

Arthrex Quickset 16 cc Kit

BoneSync Fast-Setting Drillable Calcium Phosphate Cement, 3 cc
ABS-3103

BoneSync Fast-Setting Drillable Calcium Phosphate Cement, 3 cc

BoneSync Fast-Setting Drillable Calcium Phosphate Cement, 5 cc
ABS-3105

BoneSync Fast-Setting Drillable Calcium Phosphate Cement, 5 cc

BoneSync Fast-Setting Drillable Calcium Phosphate Cement, 10 cc
ABS-3105-2

BoneSync Fast-Setting Drillable Calcium Phosphate Cement, 10 cc

AlloSync Pure, 1.0 cc
ABS-2010-01

AlloSync Pure, 1.0 cc

AlloSync Pure, 2.5 cc
ABS-2010-02

AlloSync Pure, 2.5 cc

AlloSync Pure, 5.0 cc
ABS-2010-05

AlloSync Pure, 5.0 cc

AlloSync Pure, 10.0 cc
ABS-2010-10

AlloSync Pure, 10.0 cc

AlloSync CB DBM Putty, 5 cc
ABS-2014-05

AlloSync CB DBM Putty, 5 cc

AlloSync CB DBM Putty, 10 cc
ABS-2014-10

AlloSync CB DBM Putty, 10 cc

AlloSync Evans Wedge, 18 mm x 18 mm x 6.5 mm
ABS-2810-1806

AlloSync Evans Wedge, 18 mm x 18 mm x 6.5 mm

AlloSync Evans Wedge, 18 mm x 18 mm x 8 mm
ABS-2810-1808

AlloSync Evans Wedge, 18 mm x 18 mm x 8 mm

AlloSync Evans Wedge, 18 mm x 18 mm x 10 mm
ABS-2810-1810

AlloSync Evans Wedge, 18 mm x 18 mm x 10 mm

AlloSync Evans Wedge, 18 mm x 18 mm x 12 mm
ABS-2810-1812

AlloSync Evans Wedge, 18 mm x 18 mm x 12 mm

AlloSync Evans Wedge, 20 mm x 20 mm x 6.5 mm
ABS-2810-2006

AlloSync Evans Wedge, 20 mm x 20 mm x 6.5 mm

AlloSync Evans Wedge, 20 mm x 20 mm x 8 mm
ABS-2810-2008

AlloSync Evans Wedge, 20 mm x 20 mm x 8 mm

AlloSync Evans Wedge, 20 mm x 20 mm x 10 mm
ABS-2810-2010

AlloSync Evans Wedge, 20 mm x 20 mm x 10 mm

AlloSync Evans Wedge, 20 mm x 20 mm x 12 mm
ABS-2810-2012

AlloSync Evans Wedge, 20 mm x 20 mm x 12 mm

AlloSync Evans Wedge, 22 mm x 22 mm x 6.5 mm
ABS-2810-2206

AlloSync Evans Wedge, 22 mm x 22 mm x 6.5 mm

AlloSync Evans Wedge, 22 mm x 22 mm x 8 mm
ABS-2810-2208

AlloSync Evans Wedge, 22 mm x 22 mm x 8 mm

AlloSync Evans Wedge, 22 mm x 22 mm x 10 mm
ABS-2810-2210

AlloSync Evans Wedge, 22 mm x 22 mm x 10 mm

AlloSync Evans Wedge, 22 mm x 22 mm x 12 mm
ABS-2810-2212

AlloSync Evans Wedge, 22 mm x 22 mm x 12 mm

Customer ServiceinfoLatex Informationinfo
How can we help you?
‌‌‌
Connect With Us
‌
‌‌‌‌‌‌‌
‌
‌
‌
‌
‌
‌
© 2025 Arthrex, Inc. All rights reserved.
‌