title: Nonunion after a tibial shaft fracture complicating tibial tubercule osteotomy.
abstract: Tibial shaft fracture after tibial tubercle osteotomy in total knee replacement is a rare complication. We report on a 67-year-old man who had a knee revision arthroplasty in which a long tubercle osteotomy was performed to facilitate exposure. Three weeks after surgery, he presented with a transverse shaft fracture, which became a nonunion requiring surgical management. This shaft nonunion and its solution after tibial tubercle osteotomy is discussed as well as relevant literature.
authors.affiliation: Advanced Orthopaedic Centers, HealthSouth Medical Center, Richmond, Virginia 23294, USA.
authors.forename: J
authors.initials: J
authors.lastname: Arredondo
authors.forename: R L
authors.initials: RL
authors.lastname: Worland
authors.forename: D E
authors.initials: DE
authors.lastname: Jessup
mesh_terms: D000368:Aged; D019645:Arthroplasty, Replacement, Knee; D005599:Fractures, Ununited / Q000000981:diagnostic imaging / Q000209:etiology*; D006801:Humans; D008297:Male; D010027:Osteotomy / Q000009:adverse effects*; D011183:Postoperative Complications / Q000000981:diagnostic imaging* / Q000209:etiology; D011859:Radiography; D012086:Reoperation; D013977:Tibia / Q000601:surgery; D013978:Tibial Fractures / Q000000981:diagnostic imaging / Q000209:etiology*