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HTO: Staple Fixation

 



- Discussion:
    - staple fixation & casting at surgery or shortly thereafter;
          - advantage: allows full wt bearing;
          - disadvantage: requires above knee cast;
         

- Management of Fibula:

- Surgical Approach:
     

- Osteotomy Cuts:
    - medial cortex should be drilled and then fractured by closing angle once the bone fragment is removed, thereby preventing malrotation;

- another example: