{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,7]],"date-time":"2025-11-07T00:34:08Z","timestamp":1762475648491,"version":"build-2065373602"},"reference-count":28,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2018,1,31]],"date-time":"2018-01-31T00:00:00Z","timestamp":1517356800000},"content-version":"vor","delay-in-days":30,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Case Reports in Orthopedics"],"published-print":{"date-parts":[[2018,1]]},"abstract":"<jats:p>\n                    <jats:italic>Introduction<\/jats:italic>\n                    . High tibial osteotomy (HTO) is a frequent and effective treatment for unicompartmental gonarthritis. Only a few articles are focused on the treatment of infected nonunion.\n                    <jats:italic>Patient and Method<\/jats:italic>\n                    . A 50\u2010year\u2010old obese patient was operated on by medial opening\u2010wedge HTO. She developed a painful nonunion treated by hardware removal, allograft, and plate fixation. However, the nonunion persisted. 2 years later, cellulitis appeared with an abscess adjacent to the HTO plate. Despite surgical debridement and antibiotics, septic knee arthritis occurred. In a situation of infected nonunion and septic arthritis with chondrolysis, she was scheduled for a 2\u2010stage total knee replacement (TKR). The infected tibial articular block was first resected and replaced by a cement spacer. After a short interval, the TKR was implanted. After 2 years, the patient walked pain\u2010free with good knee function.\n                    <jats:italic>Discussion<\/jats:italic>\n                    . In the literature, different efficient treatments exist for infected nonunion after HTO, but comprehensive studies are missing for a consensus treatment. Current data are mostly based on case reports, since this pathology is quite rare.\n                    <jats:italic>Conclusion<\/jats:italic>\n                    . In a difficult situation of infected nonunion with septic knee arthritis, we performed a 2\u2010stage knee prosthesis implantation. This led to an early mobilization and fast recovery.\n                  <\/jats:p>","DOI":"10.1155\/2018\/2493095","type":"journal-article","created":{"date-parts":[[2018,1,31]],"date-time":"2018-01-31T18:31:40Z","timestamp":1517423500000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Management of an Infected Nonunion of an Opening\u2010Wedge High Tibial Osteotomy with 2\u2010Stage Implantation of Rotating Hinge Knee Prosthesis"],"prefix":"10.1155","volume":"2018","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2061-6155","authenticated-orcid":false,"given":"Sandrine","family":"Mariaux","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Olivier","family":"Borens","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2018,1,31]]},"reference":[{"key":"e_1_2_7_1_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00167-011-1751-2"},{"key":"e_1_2_7_2_2","doi-asserted-by":"publisher","DOI":"10.1007\/s11999-013-3383-y"},{"key":"e_1_2_7_3_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.knee.2010.10.001"},{"key":"e_1_2_7_4_2","doi-asserted-by":"publisher","DOI":"10.2106\/jbjs.m.00786"},{"key":"e_1_2_7_5_2","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.92B9.23660"},{"key":"e_1_2_7_6_2","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.93B7.25833"},{"key":"e_1_2_7_7_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00167-013-2460-9"},{"key":"e_1_2_7_8_2","doi-asserted-by":"publisher","DOI":"10.7205\/milmed.169.9.728"},{"key":"e_1_2_7_9_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.injury.2011.06.015"},{"key":"e_1_2_7_10_2","doi-asserted-by":"publisher","DOI":"10.5792\/ksrr.2013.25.3.117"},{"key":"e_1_2_7_11_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2015.04.097"},{"key":"e_1_2_7_12_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2008.12.020"},{"key":"e_1_2_7_13_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00264-013-2082-3"},{"key":"e_1_2_7_14_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.knee.2015.09.018"},{"key":"e_1_2_7_15_2","doi-asserted-by":"publisher","DOI":"10.5435\/00124635-200709000-00003"},{"key":"e_1_2_7_16_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2014.09.011"},{"key":"e_1_2_7_17_2","doi-asserted-by":"publisher","DOI":"10.1177\/0363546514525929"},{"key":"e_1_2_7_18_2","unstructured":"PubMed-NCBI n.d. 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