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Case Reports in Orthopedics
Volume 2018, Article ID 2632963, 6 pages
Case Report

Total Knee Arthroplasty after Correction of Tibial Diaphyseal Nonunion with Clamshell Osteotomy

1Honorary Clinical Associate Professor of Orthopedics, University of Kansas, Lawrence, USA
2Colonial Orthopedics, Colonial Heights, USA
3Orthopedic Surgeon-Southwest Medical Center, Liberal, Kansas, USA

Correspondence should be addressed to Pingal Desai; moc.liamg@lagnipiased

Received 11 February 2018; Revised 30 July 2018; Accepted 16 August 2018; Published 25 September 2018

Academic Editor: Dimitrios S. Karataglis

Copyright © 2018 Pingal Desai et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


Total knee arthroplasty is mostly done to relieve pain and disability from a severe and degenerated knee. Deformities in the coronal and sagittal plane could be corrected with the help of cuts made in tibia and femur during total knee replacement as well as with ligament release. However, large deformities in the lower extremity particularly in the diaphysis region need correction prior to the total knee replacement. It helps to limit the amount of bone that will be cut and helps the ligament release. Several extra articular and intra-articular methods for the correction of diaphyseal deformity have been described. We present the case of clamshell osteotomy for the correction of diaphyseal deformity in the tibia and a total knee replacement after the osteotomy site healed.