Total knee arthroplasty with long stem for treatment of nonunion after high tibial osteotomy.
Nonunion is an uncommon complication of high tibial osteotomy (HTO), and thus literature regarding treatment of it is very limited. The usual treatment for nonunion after HTO is repeat fixation of the osteotomy site. When union is not achieved, hinge or constrained total knee arthroplasty (TKA) is used. We describe a patient for whom nonunion after HTO was successfully treated using long-stem TKA with bone graft to have the nonunion site unite simultaneously.
Yoshino
Nobuyuki
N
Department of Orthopaedic Surgery, Kyoto Kujo Hospital, Japan.
Takai
Shinro
S
Watanabe
Yoshinobu
Y
Nakamura
Shinichiro
S
Kubo
Toshikazu
T
D000368:Aged; D019645:Arthroplasty, Replacement, Knee / Q000379:methods*; D005260:Female; D005593:Fracture Fixation, Internal / Q000379:methods*; D005599:Fractures, Ununited / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery; D006801:Humans; D007720:Knee Prosthesis; D020370:Osteoarthritis, Knee / Q000000981:diagnostic imaging / Q000601:surgery*; D010027:Osteotomy / Q000009:adverse effects*; D011859:Radiography; D013977:Tibia / Q000000981:diagnostic imaging / Q000503:physiopathology / Q000601:surgery*