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Open wedge re-correction high tibial osteotomy in an elderly patient with a varus angulated non-united dome-shaped high tibial osteotomy |
Steffen Schr?ter, Lukas Konstantinidis, Tobias M. Kraus, Fabian Stuby, Ulrich St?ckle, Thomas Freude |
Department of Traumatology and Reconstructive Surgery, BG Trauma Center, 72076 Tübingen, Germany; Department of Orthopaedics and Trauma Surgery, University Medical Centre Freiburg, 79106 Freiburg, Germany |
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Abstract Objective: Non-union is a well-known complication after high tibial osteotomy. Non-union may result in a loss of correction or failed implants. Methods: Revision surgery of failed dome-shaped HTO with a re-corrective open wedge HTO has not been described to date. Here, the case of a 74-year-old woman with a varus angulated non-union (mechanical tibiofemoral angle of −28°C) after a dome-shaped osteotomy is presented. Results: Revision surgery was performed with the TomofixTM plate. Conclusions: Even in elderly patients, the clinical result that is achieved without a total knee arthroplasty can be satisfactory.
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Received: 19 February 2013
Published: 04 November 2013
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