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The proximal lateral tibia is exposed via a skin incision of approximately 10\u00a0cm length between the tibial tuberosity and the head of the fibula. After detachment of the anterior tibial muscle, a first oblique guidewire marks the main osteotomy plane and a second guidewire marks the hemi\u2010wedge. Then, the osteotomy is performed along the guidewires with an oscillating saw and the laterally based wedge is removed. After percutaneous needling of the medial collateral ligament with a cannula, the lateral gap is closed and stabilized with an angular\u2010stable plate. The rehabilitation protocol includes partial weight\u2010bearing with 10\u00a0kg for 6\u00a0weeks and free range of motion.<\/jats:p>\n <\/jats:sec>\n \n Technique Video<\/jats:title>\n \n \n \n video<\/jats:alt-text>\n <\/jats:graphic>\n <\/jats:boxed-text>\n <\/jats:p>\n \n See video under supplementary data.<\/jats:bold>\n <\/jats:p>\n <\/jats:sec>","DOI":"10.1016\/j.eats.2024.103211","type":"journal-article","created":{"date-parts":[[2024,9,6]],"date-time":"2024-09-06T11:11:35Z","timestamp":1725621095000},"update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":1,"title":["Biplanar Lateral Hemi\u2010Wedge Osteotomy for the Correction of Severe Tibial Varus Deformity"],"prefix":"10.1002","volume":"13","author":[{"given":"Wolf","family":"Petersen","sequence":"first","affiliation":[{"name":"Department for Orthopedics and Trauma Surgery Martin Luther Hospital Berlin Berlin Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hassan","family":"Al Mustafa","sequence":"additional","affiliation":[{"name":"Department for Orthopedics and Trauma Surgery Martin Luther Hospital Berlin Berlin Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Martin","family":"H\u00e4ner","sequence":"additional","affiliation":[{"name":"Department for Orthopedics and Trauma Surgery Martin Luther Hospital Berlin Berlin 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