title: Medial tibial hemi-condylar elevation osteotomy as an operative technique to treat varus mal-united tibial plateau fracture.
abstract: Hemi-condylar tibial osteotomy was first reported as a corrective surgical option for neglected Blount's disease by Langenskiold in 1964. The indication for this procedure is largely reserved for the rare cases of excessive ligament laxity. To the best of our knowledge, literature search reveals only 6 cases, all of which were of Blount's disease and there has been no report of this procedure being used in Trauma. We present a case of failed osteosynthesis of Type V tibial plateau fracture, which resulted in genu varum deformity secondary to collapse of only the medial tibial condyle. We successfully realigned the mechanical axis by elevation osteotomy of the medial tibial hemicondyle.
authors.affiliation: William Harvey Hospital, East Kent Hospitals University NHS Trust, Kennington Road, Ashford, Kent, TN24 0LZ, UK. orthoganesh@gmail.com
authors.forename: Ganesh
authors.initials: G
authors.lastname: Prasad
authors.forename: Helmut
authors.initials: H
authors.lastname: Zahn
mesh_terms: D000063:Accidents, Traffic; D001860:Bone Plates; D001863:Bone Screws; D005593:Fracture Fixation, Internal; D017759:Fractures, Malunited / Q000601:surgery*; D056305:Genu Varum / Q000209:etiology / Q000601:surgery*; D006801:Humans; D007593:Joint Instability / Q000209:etiology / Q000601:surgery; D008297:Male; D008875:Middle Aged; D010027:Osteotomy / Q000379:methods*; D011183:Postoperative Complications / Q000209:etiology / Q000601:surgery*; D011859:Radiography; D020127:Recovery of Function; D012086:Reoperation; D013978:Tibial Fractures / Q000000981:diagnostic imaging / Q000601:surgery*