Open wedge re-correction high tibial osteotomy in an elderly patient with a varus angulated non-united dome-shaped high tibial osteotomy

摘要

Objective: Non-union is a well-known complication after high tibial osteotomy. Non-union may result in a loss of correction or failed implants. Methods: revision surgery of failed dome-shaped HTO with a re-corrective open wedge HTO has not been described to date. Here, the case of a 74-year-old woman with a varus angulated non-union (mechanical tibiofemoral angle of ?28°C) after a dome-shaped osteotomy is presented. Results: revision surgery was performed with the tomoFixTM plate. Conclusions: Even in elderly patients, the clinical result that is achieved without a total knee arthroplasty can be satisfactory.