The invention discloses a tibial osteotomy positioning device. The tibial osteotomy positioning device comprises a bracket, wherein torsional caps are arranged at one end of the bracket, a torsional spring is arranged in each of the torsional cap, a fixing pin penetrates through the inner part of each torsional cap, a ratchet wheel sleeves the corresponding fixing pin, a clip is connected to one end of each ratchet wheel, pressing rods are arranged in the bracket, a guide block is arranged at the other end of the bracket, a cup head pin and a No.1 button are arranged in the guide block, a connecting shaft is arranged at the other end of the guide block, a connecting block is arranged at the other end of the connecting shaft, a No.2 button is arranged in the connecting block, a sleeve is arranged at the upper end of the connecting block, a positioning rod and a locking rod are arranged in the sleeve, a No.3 button is arranged at the upper end of the locking rod, and a No.4 button is arranged at the upper end of the sleeve. The tibial osteotomy positioning device can accurately position and determine the cutting off angle of a back rake angle of a tibial platform, and errors caused by that during an artificial knee replacement surgery, the angle of the back rake angle of the tibial platform is determined by naked eyes, can be avoided.