{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,2]],"date-time":"2025-08-02T14:45:05Z","timestamp":1754145905394,"version":"3.41.2"},"reference-count":11,"publisher":"SLACK, Inc.","issue":"5","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Orthopedics"],"published-print":{"date-parts":[[2009,5]]},"abstract":"<jats:p>Posttraumatic osteoarthritis of the knee can be associated with angular deformities and alterations in the joint line as a result of the initial trauma and subsequent surgical procedures. These deformities can be characterized as extra-articular or intra-articular or can involve aspects of both. Conversion to total knee arthroplasty (TKA) may require either a staged or a simultaneous corrective osteotomy to restore the limb alignment and proper knee function. This article describes a closing wedge retrotubercular tibia osteotomy performed concurrently with TKA in an effort to correct an extra-articular varus deformity and to improve the patella tendon height in relation to the reconstructed joint line.<\/jats:p>\n          <jats:p>A 57-year-old man previously treated for a Schatzker type 6 tibia plateau fracture presented with symptoms of arthritis pain and instability as a result of a varus thrust with weight bearing. Radiographs revealed posttraumatic osteoarthritis, a 35\u00b0 varus deformity, and patella infera. Maintaining the tibia tubercle continuity with the distal tibia allowed for correction of the varus deformity and improvement in the patella tendon height relative to the joint line. At 5-year follow-up, the patient had osteotomy healing, clinically neutral limb alignment, and improvement in joint line biomechanics with resolution of symptoms of pain and instability.<\/jats:p>","DOI":"10.3928\/01477447-20090501-09","type":"journal-article","created":{"date-parts":[[2009,5,28]],"date-time":"2009-05-28T10:37:28Z","timestamp":1243507048000},"page":"360-363","source":"Crossref","is-referenced-by-count":3,"title":["Closing Wedge Retrotubercular Tibial Osteotomy and TKA for Posttraumatic Osteoarthritis With Angular Deformity"],"prefix":"10.3928","volume":"32","author":[{"given":"John P.","family":"Meehan","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mohammad A.","family":"Khadder","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Amir A.","family":"Jamali","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kenneth B.","family":"Trauner","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"2308","reference":[{"key":"e_1_3_1_2_2","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-200210000-00005"},{"key":"e_1_3_1_3_2","doi-asserted-by":"publisher","DOI":"10.1097\/00003086-199009000-00027"},{"key":"e_1_3_1_4_2","doi-asserted-by":"publisher","DOI":"10.5435\/00124635-200507000-00007"},{"key":"e_1_3_1_5_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0883-5403(89)80002-6"},{"key":"e_1_3_1_6_2","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-198668070-00009"},{"key":"e_1_3_1_7_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0883-5403(08)80029-0"},{"key":"e_1_3_1_8_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0883-5403(98)90188-7"},{"issue":"1","key":"e_1_3_1_9_2","first-page":"39","article-title":"Potential complications of total knee replacement following tibial osteotomy","volume":"17","author":"Cameron HU","year":"1988","unstructured":"Cameron HU, Welsh RP. Potential complications of total knee replacement following tibial osteotomy. Orthop Rev. 1988; 17(1):39\u201343.","journal-title":"Orthop Rev"},{"issue":"7","key":"e_1_3_1_10_2","first-page":"614","article-title":"Total knee replacement after fractures about the knee","volume":"19","author":"Roffi RP","year":"1990","unstructured":"Roffi, RP, Merritt PO. Total knee replacement after fractures about the knee. Orthop Rev. 1990; 19(7):614\u2013620.","journal-title":"Orthop Rev"},{"key":"e_1_3_1_11_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0035-1040(07)92681-1"},{"issue":"3","key":"e_1_3_1_12_2","first-page":"163","article-title":"Observations on patellar height following opening wedge proximal tibial osteotomy","volume":"14","author":"Wright JM","year":"2001","unstructured":"Wright JM, Heavrin B, Begg M, Sakyrd G, Sterett W. Observations on patellar height following opening wedge proximal tibial osteotomy. Am J Knee Surg. 2001; 14(3):163\u2013173.","journal-title":"Am J Knee Surg"}],"container-title":["Orthopedics"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.healio.com\/doiresolver?doi=10.3928\/01477447-20090501-09","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,7,17]],"date-time":"2025-07-17T17:52:14Z","timestamp":1752774734000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.healio.com\/doi\/10.3928\/01477447-20090501-09"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2009,5]]},"references-count":11,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2009,5]]}},"alternative-id":["10.3928\/01477447-20090501-09"],"URL":"https:\/\/doi.org\/10.3928\/01477447-20090501-09","relation":{},"ISSN":["0147-7447","1938-2367"],"issn-type":[{"type":"print","value":"0147-7447"},{"type":"electronic","value":"1938-2367"}],"subject":[],"published":{"date-parts":[[2009,5]]}}}