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Figure 13. Alternatives for osteotomy procedures. A. The “closing wedge” osteotomy removes a small wedge of bone such that the alignment of the joint is corrected. In this image, a “bow-legged” knee has been converted to a normal alignment. (Courtesy Knee Guru.com) B. Our preferred alternative is an “opening wedge” osteotomy, in which a cut is made in the bone, grafted with bone, and fixed in place. The “opening wedge” does not decrease leg length, as a closing wedge does.
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