The authors draw attention to osteotomy in the region of the knee. During the present era of total endoprostheses of the knee iont osteotomy in the region of the knee still holds its firm place and has certain advantages. After total endoprosthesis of the knee the results are very good. From practice it is however known that total endoprostheses have their limitations in time. This is why in younger age groups, if possible, osteotomy is considered. It is best to perform it in the stage before advanced signs of primary and secondary gonathreitis develop. The authors mention that at the Second Orthopaedic Clinic in 1998 some 22% operations in the region of the know were made, incl. 7% osteotomies. 5% total endoprostheses. The type of osteotomy used at the Clinic is in the majority wedge-shaped osteotomy with fixation by means of osteosynthetic material. Osteotomy of the tibia was performed on average at an age of 59 years in 56% men and 44% women. Osteotomy of the distal femur was made at an average age of 43 years in 44% men and 56% women. TEP of the knee was administered at an average age of 65 years in 38% men and 56% women. The authors demonstrate some types of osteotomies in the area of the knee which proved useful according to their experience.

        Key words: osteotomy of the tibia - osteotomy of the femur - endoprosthesis of the knee.