Treatment of a Diaphyseal Tibial Malunion with Use of the Clamshell Osteotomy.
Robinson Esteves Santos PiresIgor Guedes Nogueira ReisEgidio Oliveira SantanaPublished in: JBJS essential surgical techniques (2021)
Preserve the blood supply in the opposite cortex.Close the fascia before reaming the medullary canal.Do not ream the osteotomy site.Be sure to perform a bicortical osteotomy.Create a stable construct.