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First, Tien flies high into the air, and as he descends back down to the ground at a high speed, he breaks his opponent's leg with his knee, causing an extreme amount of damage.
Piccolo Jr. uses a very similar attack to break both of Goku's legs during the final fight of the 23nd World Martial Arts Tournament. However, in contrast to Tien's version, Piccolo uses both knees instead of only one, thus allowing him to break the two legs of his opponent.