1. Supramalleolar Osteotomy in Patients with Varus Ankle Osteoarthritis by Woo-Chun Lee, Jeong-Seok Moon, Kang Lee, Woo Jin Byun, and Sang Hyeong Lee JBJS Essent Surg Tech Volume 1(3):e13 October 12, 2011 ©2011 by The Journal of Bone and Joint Surgery, Inc.

2. Woo-Chun Lee et al. JBJS Essent Surg Tech 2011;1:e13 ©2011 by The Journal of Bone and Joint Surgery, Inc.

3. Woo-Chun Lee et al. JBJS Essent Surg Tech 2011;1:e13 ©2011 by The Journal of Bone and Joint Surgery, Inc.

4. Woo-Chun Lee et al. JBJS Essent Surg Tech 2011;1:e13 ©2011 by The Journal of Bone and Joint Surgery, Inc.

5. Woo-Chun Lee et al. JBJS Essent Surg Tech 2011;1:e13 ©2011 by The Journal of Bone and Joint Surgery, Inc.

6. Woo-Chun Lee et al. JBJS Essent Surg Tech 2011;1:e13 ©2011 by The Journal of Bone and Joint Surgery, Inc.

7. Woo-Chun Lee et al. JBJS Essent Surg Tech 2011;1:e13 ©2011 by The Journal of Bone and Joint Surgery, Inc.

8. Woo-Chun Lee et al. JBJS Essent Surg Tech 2011;1:e13 ©2011 by The Journal of Bone and Joint Surgery, Inc.

9. Woo-Chun Lee et al. JBJS Essent Surg Tech 2011;1:e13 ©2011 by The Journal of Bone and Joint Surgery, Inc.

10. Woo-Chun Lee et al. JBJS Essent Surg Tech 2011;1:e13 ©2011 by The Journal of Bone and Joint Surgery, Inc.

11. Woo-Chun Lee et al. JBJS Essent Surg Tech 2011;1:e13 ©2011 by The Journal of Bone and Joint Surgery, Inc.

12. Exposure of the distal part of the fibula through a longitudinal incision along its posterior border. Woo-Chun Lee et al. JBJS Essent Surg Tech 2011;1:e13 ©2011 by The Journal of Bone and Joint Surgery, Inc.

13. A seven-hole semitubular plate is bent slightly more than the natural contour of the distal part of the fibula. Woo-Chun Lee et al. JBJS Essent Surg Tech 2011;1:e13 ©2011 by The Journal of Bone and Joint Surgery, Inc.

14. The plate has been applied to the fibula, and screws have been inserted into the holes proximal, but not distal, to the osteotomy. Woo-Chun Lee et al. JBJS Essent Surg Tech 2011;1:e13 ©2011 by The Journal of Bone and Joint Surgery, Inc.

15. A curvilinear incision is made over the anteromedial surface of the distal part of the leg for exposure for the tibial osteotomy. Woo-Chun Lee et al. JBJS Essent Surg Tech 2011;1:e13 ©2011 by The Journal of Bone and Joint Surgery, Inc.

16. Use fluoroscopy to confirm the position of the Kirschner wires used to mark the position of the tibial and fibular osteotomies. Woo-Chun Lee et al. JBJS Essent Surg Tech 2011;1:e13 ©2011 by The Journal of Bone and Joint Surgery, Inc.

17. Connect the drill holes in the distal part of the tibia with a thin osteotome. Woo-Chun Lee et al. JBJS Essent Surg Tech 2011;1:e13 ©2011 by The Journal of Bone and Joint Surgery, Inc.

18. Split open the medial surface of the tibia with stacked thin osteotomes. Woo-Chun Lee et al. JBJS Essent Surg Tech 2011;1:e13 ©2011 by The Journal of Bone and Joint Surgery, Inc.

19. Secure fixation of the tibia with a seven-hole dynamic compression plate while a bone spreader is used to maintain the opening of the osteotomy site. Woo-Chun Lee et al. JBJS Essent Surg Tech 2011;1:e13 ©2011 by The Journal of Bone and Joint Surgery, Inc.

20. Preoperative anteroposterior ankle radiograph showing medial joint-space narrowing with talar tilt. Woo-Chun Lee et al. JBJS Essent Surg Tech 2011;1:e13 ©2011 by The Journal of Bone and Joint Surgery, Inc.

21. Postoperative anteroposterior ankle radiograph showing the gap in the osteotomy site packed with bone graft. Woo-Chun Lee et al. JBJS Essent Surg Tech 2011;1:e13 ©2011 by The Journal of Bone and Joint Surgery, Inc.