Review Question - QID 216870

A 37-year-old male presents to your office with complaints of medial right knee pain of multiple years duration. He is a construction worker and states he is now having trouble performing his daily duties. He has done physical therapy and been given a steroid injection by a different provider with little relief. On examination, his knee demonstrates varus alignment and tenderness is present primarily over the medial joint line. Radiographs are obtained which demonstrate a varus deformity of 8º of the right knee with moderate arthritis in the medial compartment only. You offer him a medial unloader brace which does passively correct his deformity and improve his pain but he is unable to tolerate it while he is working. Given this scenario, what is the best definitive treatment option for this patient?