Tibial osteotomy coincident with long stem total knee arthroplasty: a surgical technique

Tibial deformity secondary to previous fracture or osteotomy requires corrective osteotomy in some patients undergoing total knee arthroplasty (TKA). This can be performed in either two stages or coincident with the arthroplasty. Literature on coincident tibial osteotomy and TKA has been published previously, but details of the complicated surgical technique are lacking for surgeons performing this procedure for the first time. This article details the preoperative planning involved and the intraoperative technique used in tibial osteotomy coincident with TKA.