It remains unknown if a concomitant arthroscopic knee debridement would increase the benefits of surgery (quality of life and functional ability) for young active patients with medial compartment OA of the knee and varus alignmen. This additional procedure has a low incidence of morbidity and would potentially allow for treatment of meniscal tears and articular damage, as well as joint lavage to remove debris and inflammatory factors. A trial is needed to determine whether HTO with concomitant knee arthroscopy will result in better overall outcomes for this patient group.The objective is to compare the quality of life, functional status, pain, and swelling of patients who undergo an HTO with or without a concomitant knee joint arthroscopy to address additional joint pathology
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Inclusion Criteria: * patients with medial compartment osteoarthritis as determined by clinical examination and plain radiographs. * scheduled for an HTO Exclusion Criteria: 1. Evidence of other significant knee pathology, 2. Active joint or systemic infection, 3. Major medical illness that would preclude undergoing surgery, 4. Patients who are unwilling or unable to be assessed according to study protocol for one year following surgery 5. Major psychiatric illness, developmental handicap or inability to read and understand the English language