- Discussion:
- staple fixation & casting at surgery or shortly thereafter;
- advantage: allows full wt bearing;
- disadvantage: requires above knee cast;
![](http://new.wheelessonline.com/media/2020/07/htto26a.jpg)
![](http://new.wheelessonline.com/media/2020/07/htto23a.jpg)
![](http://new.wheelessonline.com/media/2020/07/htto24a.jpg)
![](http://new.wheelessonline.com/media/2020/07/htto25a.jpg)
- Osteotomy Cuts:
- medial cortex should be drilled and then fractured by closing angle once the bone fragment is removed, thereby preventing malrotation;