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Illustration demonstration the orientation of the tibial clamshell osteotomy. Notice the osteotomy is parallel to the medial face of the tibia. The surgeon must ensure that he/she is not creating a unicortical osteotomy when creating the longitudinal cut of the tibia. (Reprinted with permission from Russell et al. (2009). Copyright 2009 The Journal of Bone and Joint Surgery (JBJS), Inc.).
