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. 2021 May 7;10(6):e1497–e1504. doi: 10.1016/j.eats.2021.02.016

Fig 1.

Fig 1

Postoperative radiographs of 31-year-old female patient who underwent medial closed wedge distal femoral osteotomy with TomoFix MDF (Synthes GmbH; Solothurn, Switzerland) in her right knee and with TriS-MDFO in her left knee. (A) Anteroposterior view of the right knee. The head-shaft angle (black lines) of the TomoFix MDF is 20° and the distal screws are oriented approximately 5° distal to the direction of the proximal screws. Because of the discrepancy between the direction of the osteotomy line and the distal screws, the screws just distal to the transverse cut draw closer to the osteotomized line (white arrow). (B) Anteroposterior view of the left knee. The head–shaft angle (black lines) of the TriS-MDFO is 40° and the distal screws are oriented approximately 17° distal to the direction of the proximal screws. Owing to the improvement in the screw direction, the longer distal screws can be inserted more parallel to the osteotomized line. (C) Lateral view of the right knee demonstrates the square-shaped head design (dashed black line) of the TomoFix MDF. (D) Lateral view of the left knee demonstrates the new diamond-shaped head design (dashed black line) of the TriS-MDFO.