Review Question - QID 218076

A 37-year-old male construction worker presents to your office with complaints of long-standing knee pain since he played collegiate football. The pain is worst over the lateral joint line and he has a 5° flexion contracture but negative McMurray's sign. On further evaluation, he demonstrates significant standing valgus alignment, which is confirmed to be 15° valgus on full-length standing AP radiographs. Radiographs of the knee do demonstrate early arthritic changes to the lateral compartment but not the remainder of the knee. He has been using non-steroidal anti-inflammatories without much benefit. He has tried an unloader brace which helps for a short period of time without sustained relief. You discuss surgical intervention with him. Between Figures A-E, which would be the most appropriate surgical option for this patient?