Fig 12.

Intraoperative photographs of a left leg with a medial approach to the proximal tibia. Patient is positioned supine with white arrowhead pointing toward the head of the patient. (A) Fixation of the osteotomy is achieved using a 4.5-mm locking compression plate (Synthes) and the 2 proximal locking screws are placed first (black arrows), followed by a cortical screw to compress the osteotomy (white arrow). (B) The pes tendons are then repaired over the plate using the FiberWire (Arthrex) suture that was placed under the plate (white arrow).