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Concurrent Opening Wedge Osteotomy and Total Knee Replacement in a Patient With Posttraumatic Arthritis and a Varus Tibial Malunion

The American Journal of Orthopedics. 2007 August;36(8):E121-E123
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Abstract not available. Introduction provided instead.

Combined extra-articular deformity of the tibia along with osteoarthritis of the knee joint can present a challenging reconstructive procedure for the orthopedic surgeon. The knee can be approached with staged procedures or via a 1-stage approach for full correction of the deformity and alignment at the time of joint arthroplasty. We present a case of concurrent opening wedge tibial osteotomy and total knee arthroplasty for the correction of a severe varus deformity in the presence of an extra-articular tibial deformity, medial compartment arthritis, and a leg-length discrepancy. This report presents another option for a single-stage operative procedure while combining technologies to address posttraumatic arthritis with tibial deformity.