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Abstract: Objective: Non-union is a well-known complication after high tibial osteotomy. Non-union may result in a loss of correction or failed implants. Methods: revision surgery of failed dome-shaped HTO with a re-corrective open wedge HTO has not been described to date. Here, the case of a 74-year-old woman with a varus angulated non-union (mechanical tibiofemoral angle of −28°C) after a dome-shaped osteotomy is presented. Results: revision surgery was performed with the tomoFix^TM plate. Conclusions: Even in elderly patients, the clinical result that is achieved without a total knee arthroplasty can be satisfactory.

[1]Agneskirchner, J.D., Freiling, D., Hurschler, C., Lobenhoffer, P., 2006. Primary stability of four different implants for opening wedge high tibial osteotomy. Knee Surg. Sports Traumatol. Arthrosc., 14(3):291-300.

[2]Asik, M., Sen, C., Kilic, B., Goksan, S.B., Ciftci, F., Taser, O.F., 2006. High tibial osteotomy with puddu plate for the treatment of varus gonarthrosis. Knee Surg. Sports Traumatol. Arthrosc., 14(10):948-954.

[3]Blaimont, P., Burnotte, J., Halleux, P., 1975. Prearthrosis of the knee. Pathogeny, biomechanics, and preventive treatment. Acta Orthop. Belg., 41(2):177-200 (in French).

[4]Floerkemeier, S., Staubli, A.E., Schroeter, S., Goldhahn, S., Lobenhoffer, P., 2013. Outcome after high tibial open-wedge osteotomy: a retrospective evaluation of 533 patients. Knee Surg. Sports Traumatol. Arthrosc., 21(1):170-180.

[5]Hsu, R.W., 1989. The study of Maquet dome high tibial osteotomy. Arthroscopic-assisted analysis. Clin. Orthop. Relat. Res., (243):280-285.

[6]King-Martinez, A.C., Cuellar-Avaroma, A., Perez-Correa, J., Torres-Gonzalez, R., Guevara-Lopez, U., 2007. High tibial dome osteotomy complications in genu varum patients. Rev. Med. Inst. Mex. Seguro Soc., 45(2):111-116 (in Spanish).

[7]Krempen, J.F., Silver, R.A., 1982. Experience with the Maquet barrel-vault osteotomy. Clin. Orthop. Relat. Res., (168):86-96.

[8]Lobenhoffer, P., Agneskirchner, J.D., 2003. Improvements in surgical technique of valgus high tibial osteotomy. Knee Surg. Sports Traumatol. Arthrosc., 11(3):132-138.

[9]Lobenhoffer, P., Agneskirchner, J., Zoch, W., 2004. Open valgus alignment osteotomy of the proximal tibia with fixation by medial plate fixator. Orthopade, 33(2):153-160 (in German).

[10]Maquet, P., 1980. The biomechanics of the knee and surgical possibilities of healing osteoarthritic knee joints. Clin. Orthop. Relat. Res., (146):102-110.

[11]Niemeyer, P., Koestler, W., Kaehny, C., Kreuz, P.C., Brooks, C.J., Strohm, P.C., Helwig, P., Suedkamp, N.P., 2008. Two-year results of open-wedge high tibial osteotomy with fixation by medial plate fixator for medial compartment arthritis with varus malalignment of the knee. Arthroscopy, 24(7):796-804.

[12]Niemeyer, P., Schmal, H., Hauschild, O., von Heyden, J., Sudkamp, N.P., Kostler, W., 2010. Open-wedge osteotomy using an internal plate fixator in patients with medial-compartment gonarthritis and varus malalignment: 3-year results with regard to preoperative arthroscopic and radiographic findings. Arthroscopy, 26(12):1607-1616.

[13]Orsel, S., Altun, M., Bekmezci, T., Tonbul, M., Yalaman, O., 2006. Early results of medial opening wedge osteotomy in varus gonarthrosis. Acta Orthop. Traumatol. Turc., 40(3):193-198 (in Turkish).

[14]Prix, R., 2005. Opening-wedge osteotomy of the proximal tibia. Acta Chir. Orthop. Traumatol. Cech., 72(5):308-312.

[15]Schröter, S., Günzel, J., Freude, T., Ateschrang, A., Stöckle, U., Albrecht, D., 2012. Precision in the planning of open wedge HTO. Z. Orthop. Unfall., 150(4):368-373 (in German).

[16]Staubli, A.E., de Simoni, C., Babst, R., Lobenhoffer, P., 2003. Tomofix: a new LCP-concept for open wedge osteotomy of the medial proximal tibia―early results in 92 cases. Injury, 34(s2):B55-B62.

[17]Stoffel, K., Stachowiak, G., Kuster, M., 2004. Open wedge high tibial osteotomy: biomechanical investigation of the modified Arthrex Osteotomy Plate (Puddu Plate) and the TomoFix Plate. Clin. Biomech. (Bristol. Avon.), 19(9):944-950.

[18]Sundaram, N.A., Hallett, J.P., Sullivan, M.F., 1986. Dome osteotomy of the tibia for osteoarthritis of the knee. J. Bone Joint Surg. Br., 68(5):782-786.

[19]Takeuchi, R., Aratake, M., Bito, H., Saito, I., Kumagai, K., Ishikawa, H., Akamatsu, Y., Sasaki, Y., Saito, T., 2008. Simultaneous bilateral opening-wedge high tibial osteotomy with early full weight-bearing exercise. Knee Surg. Sports Traumatol. Arthrosc., 16(11):1030-1037.

[20]Takeuchi, R., Ishikawa, H., Aratake, M., Bito, H., Saito, I., Kumagai, K., Akamatsu, Y., Saito, T., 2009. Medial opening wedge high tibial osteotomy with early full weight bearing. Arthroscopy, 25(1):46-53.

[21]Teitge, R., van Heerwarden, R., 2008. Osteotomies for Failed Osteotomies Around the Knee. In: Lobenhoffer, P., van Heerwaarden, R., Staubli, A., Jakob, R.P. (Eds.), Osteotomies Around the Knee. AO Foundation, Davos, p.233-249.

[22]Tsuda, E., Ishibashi, Y., Sasaki, K., Sato, H., Toh, S., 2004. Opening-wedge osteotomy for revision of failed closing-wedge high tibial osteotomy. A case report. J. Bone Joint Surg. Am., 86-A(9):2045-2049.

[23]Watanabe, K., Tsuchiya, H., Matsubara, H., Kitano, S., Tomita, K., 2008. Revision high tibial osteotomy with the Taylor spatial frame for failed opening-wedge high tibial osteotomy. J. Orthop. Sci., 13(2):145-149.