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The mean tourniquet time, by which the surgical time was measured, was 40 minutesand the average number of intra-operative fluoroscopic images was 10 (range 7-14), significantly less than when using conventional techniques. The use of PSI in OW-HTO allows accurate achievement of the desired correction, while shortening the OR time. The number of radiological exposures is also decreased, in comparison with the conventional osteotomies. The use of PSI in OW-HTO allows accurate achievement of the desired correction, while shortening the OR time. The number of