Inclusion Criteria:  Knee medial compartment or patellofemoral osteoarthritis in medical interview and physical examination Intraarticular lesions in MRI Confirmation of cartilage degeneration/damage and knee malalignment in radiological tests  Exclusion Criteria:  no informed consent to participate in the study age under 18 years or above 65 multilligament injury or single plane knee instability another musculoskeletal disorders in lower limb lower limb deformity requiring axis correction below 4o or above 12.5o • joints inflammatory diseases ASA score > II