Arterial occlusion caused by a non-adsorbable bone graft after open wedge tibial osteotomy

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Ralf Schäfer1, Falk Mittag, Markus Wünschel

  • 1Orthopädische Universitätsklinik Tübingen, Hoppe-Seyler-Str. 3, 72076 Tübingen, Germany. Ralf.Schaefer@med.uni-tuebingen.de

The Knee
|September 29, 2009
PubMed

We report a case of a near fatal complication of an open wedge high tibial osteotomy held by a Puddu plate. CT-scan and lysis therapy revealed a compression of the popliteal artery by the implanted hydroxyapatite wedge resulting in ischaemia of the lower limb. Revision surgery was performed and the prominent part of the wedge was removed, however two toes had to be amputated due to the initial tissue damage.

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