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With the patient placed supine on the operating table, this image is looking anteriorly and obliquely at the right knee. A unicondylar knee arthroplasty guide (Arthrex, Naples, FL) is properly aligned to the lateral tibial plateau ensuring appropriate slope and coronal angulation. The line connecting the central aspects of the tibial spines is used as a sagittal cut reference. The extramedullary guide from the unicondylar knee arthroplasty system is used to optimize coronal alignment.
