Concurrent Opening Wedge Osteotomy and Total Knee Replacement in a Patient With Posttraumatic Arthritis and a Varus Tibial Malunion
Amit Lahav, MD, and Frank R. DiMaio, MD
Dr. DiMaio is Chairman, Department of Orthopaedic Surgery, and Chief, Division of Adult Joint Reconstruction, Winthrop-University Hospital, Mineola, New York.
Dr. Lahav is Assistant Clinical Instructor, Department of Orthopaedic Surgery, SUNY Health Science Center at Stony Brook, Stony Brook, New York.
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.