Patient Case History: Nicole

High Tibial Osteotomy for Knee Realignment to Treat Arthritis

Pre-Op

Patient Surgeon: S. Robert Rozbruch
Nicole is 24 years old and has post-traumatic arthritis of the right knee. The varus (bowleg) deformity causes excessive stress to pass through the arthritic inside part of the knee. She experiences pain on the inside (medial) part of the knee.

Nicole, Pre-op thumbnail Image, Limb Lengthening, post-traumatic arthritis, varus deformity, bowleg deformity
Nicole, Pre-op thumbnail of an x-ray, Limb Lengthening, post-traumatic arthritis, varus deformity, bowleg deformity
Nicole, Pre-op thumbnail of an x-ray, Limb Lengthening, post-traumatic arthritis, varus deformity, bowleg deformity

Post-Op

An osteotomy of the proximal tibia was done and an EBI frame was used to gradually realign the leg. The weight bearing stress was shifted to the healthy outside (lateral) side of the knee. The frame allowed for a very precise correction that could be "dialed in."

Nicole, Post-op thumbnail Image, Limb Lengthening, post-traumatic arthritis, osteotomy, proximal tibia, ebi frame
Nicole, Post-op thumbnail Image, Limb Lengthening, post-traumatic arthritis, osteotomy, proximal tibia, ebi frame
Nicole, Post-op thumbnail of an x-ray, Limb Lengthening, post-traumatic arthritis, osteotomy, proximal tibia, ebi frame
Nicole, Post-op thumbnail of an x-ray, Limb Lengthening, post-traumatic arthritis, osteotomy, proximal tibia, ebi frame

Follow-Up

The frame was removed at 3 months. Complete healing of the "opening wedge regenerate" is seen with excellent realignment. This will prevent pain and rapid progression of arthritis that would otherwise lead to a need for knee replacement.

Nicole, Follow up thumbnail Image, Limb Lengthening, realignment, prevention of pain, arthritis prevention
Nicole, Follow up thumbnail Image, Limb Lengthening, realignment, prevention of pain, arthritis prevention
Nicole, Follow up thumbnail of an x-ray, Limb Lengthening, realignment, prevention of pain, arthritis prevention
Nicole, Follow up thumbnail of an x-ray, Limb Lengthening, realignment, prevention of pain, arthritis prevention


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