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    Total knee arthroplasty after nonunion of lateral closing wedge high tibial osteotomy
    (E-Century Publishing Corp, 2016) Turkmen, Faik; Kacira, Burkay; Korucu, Ismail; Ozer, Mustafa; Toker, Serdar
    High tibial osteotomy (HTO) is an effective surgical procedure for patients who have medial compartmental osteoarthritis of the knee with varus deformity of the limb. Historically, the most common form of HTO was a lateral closing-wedge. Lateral closing-wedge procedure provides a stabil construct for earlier weight-bearing and bone union. This procedure has a very low risk of nonunion (<1%) due to apposition of large cancellous surfaces. We present a case of nonunion after a lateral closing wedge high tibial osteotomy (LCWHTO) which is treated with total knee arthroplasty. As in our case, surrounding bone quality may be poor and proksimal fragment may not be large enough to be fixed. Salvage procedures as total knee arthroplasty should be preferred in such cases.