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Fig 1.

Orientation definition.

(a) Orientation definition; (b) The coronal view of the solid model representing a biplanar high tibial osteotomy; (c) The sagittal view of the solid model representing a biplanar high tibial osteotomy.

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Fig 2.

The osteotomy model.

The osteotomy model with three different implant combinations: (a) The TomoFix (MHTP); (b) The TomoFix with an 8 mm cannulated lag screw (CLS); (c) the TomoFix with a PEEK internal support block (ISB).

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Table 1.

Material properties specified in the finite element models.

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Table 1 Expand

Fig 3.

Illustrations showing the ratio of the axial loads.

Illustrations showing the ratio of the axial loads on the quadrants of the proximal tibia.

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Fig 4.

The percentages of loss of posteromedial reduction.

The percentages of loss of posteromedial reduction on the tibial plateau, normalized by the magnitude in the osteotomy model.

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Fig 5.

The stress patterns and values on the bone plate.

The stress patterns and values on the bone plate in three models in the standing and sit-to-stand loading conditions.

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Fig 6.

The stress patterns and values on the locking screws.

The stress patterns and values on the locking screws in three models in the standing and sit-to-stand loading conditions.

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Fig 7.

Percentages of loss of stress.

Percentages of loss of stress on the screw, plate, and bone, respectively.

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