Juxta articular angular deformities are commonly seen both in young as well as adults. They are seen to be having high prevalence especially in children. In vast majority these are physiological and resolve on their own. Asymmetric growth disturbances are commonly caused by rickets, infections, trauma, arthritis of knee. Treatment options vary from epiphysiodesis if physis is not fused to osteotomies vis a vis open as well as close wedge osteotomies. Both having their respective advantages as well as disadvantages. We evaluated the corrections achieved by combining open wedge osteotomies with allograft and the subsequent maintenance of the corrections. Implications of osteointegration and incorporation of graft, infection rate and related complications was documented in a series of 20 cases and followed for a period of 6 months asymmetric growth disturbances and it was found that desired corrections with osteointegration achieved in all patients.