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Left knee fluoroscopic image of the osteotomy plate placement for opening wedge distal femoral osteotomy with patient in supine position. Four 4.5-mm cortical screws (orange bracket) are used to secure the plate proximally and two 6.5-mm cancellous screws (black bracket) are used to secure the plate distally. The plate placement should be verified with fluoroscopy to ensure the opening wedge is fully inserted into the osteotomy site.
