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. 2023 May 11;24:373. doi: 10.1186/s12891-023-06478-8

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© The Author(s) 2023

Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article’s Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article’s Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated in a credit line to the data.

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Fig. 1 — Planning of an open wedge high tibial osteotomy in the right knee on a full-length standing radiograph. (A) Before osteotomy, the frontal alignment is 5.3° of varus with an mMPTA of 83.1°. Osteotomy (B) 3 cm and (C) 4 cm distal to the medial joint line is planned to produce a neutral frontal alignment of 0°. The osteotomy gap is measured for both starting points (mMPTA: mechanical Medial Proximal Tibia Angle)