High tibial osteotomy with use of osteotomy jig (see text). A, Incision. B, Positioning of transverse osteotomy guide. C, Determination of correct position of jig. D, Placement of oblique osteotomy guide over 3.2-mm smooth pins and performance of osteotomy. E, Placement of L-shaped osteotomy plate. F, Application of compression clamp. G, Application of slow compression. H, Fixation of distal plate. SEE TECHNIQUE 9.9.