Hello Alex:
The 'insquint', Patella 'looking in' with feet ahead, is a due to tibail Ext malrotation.
Cooke, T.D.V., Price, N., Fischer, B., Hedden, D. (1990): The inwardly pointing knee. An unrecognized problem of external rotational mal-alignment. Clin. Orthop., 260:56-60.
Whether by intention or design I think you derotated this with your osteotomy.
Did you show us the preop tibial alignment? Our data for posterior tibial tilt is a mean of closer
to 10 degrees (Yoshioka, Y., Siu, D., Scudamore, R.A., Cooke, T.D.V. (1989) Tibial anatomy and functional axes. J. Orthop. Res., 7:132-137.)
Regards
Derek
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