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1 Volume os-92(Supplement 1 Part 2):158-175
The Clamshell Osteotomy: A New Technique to Correct Complex Diaphyseal Malunions by George V. Russell, Matt L. Graves, Michael T. Archdeacon, David P. Barei, Glenn A. Brien, and Scott E. Porter JBJS Essent Surg Tech Volume os-92(Supplement 1 Part 2): September 1, 2010 ©2010 by The Journal of Bone and Joint Surgery, Inc.

2 Russell G V et al. J Bone Joint Surg Am 2010;os-92:158-175
©2010 by The Journal of Bone and Joint Surgery, Inc.

3 Russell G V et al. J Bone Joint Surg Am 2010;os-92:158-175
©2010 by The Journal of Bone and Joint Surgery, Inc.

4 Russell G V et al. J Bone Joint Surg Am 2010;os-92:158-175
©2010 by The Journal of Bone and Joint Surgery, Inc.

5 Russell G V et al. J Bone Joint Surg Am 2010;os-92:158-175
©2010 by The Journal of Bone and Joint Surgery, Inc.

6 Russell G V et al. J Bone Joint Surg Am 2010;os-92:158-175
©2010 by The Journal of Bone and Joint Surgery, Inc.

7 Russell G V et al. J Bone Joint Surg Am 2010;os-92:158-175
©2010 by The Journal of Bone and Joint Surgery, Inc.

8 Russell G V et al. J Bone Joint Surg Am 2010;os-92:158-175
©2010 by The Journal of Bone and Joint Surgery, Inc.

9 Fig. 1-H The osteotomy gaps are successively filled with reamings.
Fig. 1-H The osteotomy gaps are successively filled with reamings. The left panel shows the reamings at the proximal junction after reaming the proximal segment. The middle panel demonstrates the reamings at the proximal and distal osteotomy sites after “push-pull” reaming. The right panel demonstrates the final appearance at the osteotomy sites after all open spaces have been filled with reamings and supplemented with demineralized bone matrix or autogenous bone graft if required. Russell G V et al. J Bone Joint Surg Am 2010;os-92: ©2010 by The Journal of Bone and Joint Surgery, Inc.

10 Russell G V et al. J Bone Joint Surg Am 2010;os-92:158-175
©2010 by The Journal of Bone and Joint Surgery, Inc.

11 Russell G V et al. J Bone Joint Surg Am 2010;os-92:158-175
©2010 by The Journal of Bone and Joint Surgery, Inc.

12 Russell G V et al. J Bone Joint Surg Am 2010;os-92:158-175
©2010 by The Journal of Bone and Joint Surgery, Inc.

13 Russell G V et al. J Bone Joint Surg Am 2010;os-92:158-175
©2010 by The Journal of Bone and Joint Surgery, Inc.

14 Russell G V et al. J Bone Joint Surg Am 2010;os-92:158-175
©2010 by The Journal of Bone and Joint Surgery, Inc.

15 Russell G V et al. J Bone Joint Surg Am 2010;os-92:158-175
©2010 by The Journal of Bone and Joint Surgery, Inc.

16 Russell G V et al. J Bone Joint Surg Am 2010;os-92:158-175
©2010 by The Journal of Bone and Joint Surgery, Inc.

17 Russell G V et al. J Bone Joint Surg Am 2010;os-92:158-175
©2010 by The Journal of Bone and Joint Surgery, Inc.

18 Russell G V et al. J Bone Joint Surg Am 2010;os-92:158-175
©2010 by The Journal of Bone and Joint Surgery, Inc.

19 Russell G V et al. J Bone Joint Surg Am 2010;os-92:158-175
©2010 by The Journal of Bone and Joint Surgery, Inc.

20 Russell G V et al. J Bone Joint Surg Am 2010;os-92:158-175
©2010 by The Journal of Bone and Joint Surgery, Inc.

21 Russell G V et al. J Bone Joint Surg Am 2010;os-92:158-175
©2010 by The Journal of Bone and Joint Surgery, Inc.

22 Russell G V et al. J Bone Joint Surg Am 2010;os-92:158-175
©2010 by The Journal of Bone and Joint Surgery, Inc.

23 Russell G V et al. J Bone Joint Surg Am 2010;os-92:158-175
©2010 by The Journal of Bone and Joint Surgery, Inc.

24 Fig. 3 Artist's depiction of the plane of the longitudinal portion of the clamshell osteotomy for the tibia. Fig. 3 Artist's depiction of the plane of the longitudinal portion of the clamshell osteotomy for the tibia. The plane is approximately parallel to the medial face of the tibia. Russell G V et al. J Bone Joint Surg Am 2010;os-92: ©2010 by The Journal of Bone and Joint Surgery, Inc.

25 Russell G V et al. J Bone Joint Surg Am 2010;os-92:158-175
©2010 by The Journal of Bone and Joint Surgery, Inc.

26 Russell G V et al. J Bone Joint Surg Am 2010;os-92:158-175
©2010 by The Journal of Bone and Joint Surgery, Inc.

27 Russell G V et al. J Bone Joint Surg Am 2010;os-92:158-175
©2010 by The Journal of Bone and Joint Surgery, Inc.

28 Russell G V et al. J Bone Joint Surg Am 2010;os-92:158-175
©2010 by The Journal of Bone and Joint Surgery, Inc.

29 Russell G V et al. J Bone Joint Surg Am 2010;os-92:158-175
©2010 by The Journal of Bone and Joint Surgery, Inc.

30 Russell G V et al. J Bone Joint Surg Am 2010;os-92:158-175
©2010 by The Journal of Bone and Joint Surgery, Inc.

31 Russell G V et al. J Bone Joint Surg Am 2010;os-92:158-175
©2010 by The Journal of Bone and Joint Surgery, Inc.

32 Russell G V et al. J Bone Joint Surg Am 2010;os-92:158-175
©2010 by The Journal of Bone and Joint Surgery, Inc.


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