63 year old lady 14 years after conservatively treated diaphsyeal fracture tibia presented painful knee with medial and patellofemoral OA
Planned to do a metaphyseal corrective osteotomy followed by a TKR- one stage and grafting. Touch wt bearing for 6 weeks. Fibula was not osteotomised as adequete correction and compression and grafting was thought to be sufficient. 
We decided to do Diaphyseal corrective osteotomy, Plate and graft it and then do a simultaneous TKR. The longest stem available would not by pass the osteotomy adequetly. The angulation was distal as well as too big to correct intra articularly
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