You are here

Article Text

Article menu

Download PDFPDF

XML
Novel treatment (new drug/intervention; established drug/procedure in new situation)
CASE REPORT
Re-correction osteotomy with osteophyte graft for correction loss with non-union after high tibial osteotomy
  1. Ryuichi Nakamura1,
  2. Hitoshi Nishimura2,
  3. Yasuo Katsuki3
  1. 1Department of Orthopaedic Surgery, Harue Hospital, Sakai, Japan
  2. 2Department of Rehabilitation, Yawata Medical Center, Komatsu, Japan
  3. 3Department of Orthopaedic Surgery, Yawata Medical Center, Komatsu, Japan
  1. Correspondence to Dr Ryuichi Nakamura, ryu-nakamura{at}msj.biglobe.ne.jp

Summary

A 68-year-old man with right knee varus osteoarthritis was treated by lateral closed-wedge high tibial osteotomy. A correction loss with non-union occurred 6 months after surgery and a re-correction osteotomy was performed. Removing the proximal screws of the lateral plate, a medial opening-wedge re-osteotomy was performed. Arthroscopically harvested osteophytes were used to fill the gap after opening. An additional medial locking plate was installed on the medial side. Finally, the proximal lateral screws were reinserted and locked again. Mature trabecular continuity was obtained in the gap by 6 months, and there was no varus deformity 4 years after re-correction. Re-correction osteotomy could be a viable treatment when lateral compartment osteoarthritis has not progressed and good range of motion still exists. Osteophyte grafting may be an effective option not only to avoid iliac bone grafting but also to promote bone healing in re-osteotomy.

  • Orthopaedics
  • Osteoarthritis

This is an Open Access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/

https://doi.org/10.1136/bcr-2017-221870

Statistics from Altmetric.com

    Request Permissions

    If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.

    View Full Text

    Footnotes

    • Contributors RN, wrote the paper and performed the surgery. HN, helped in postoperative rehabilitation. YK, helped in surgery.

    • Competing interests None declared.

    • Patient consent Obtained.

    • Provenance and peer review Not commissioned; externally peer reviewed.