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A 37-years-old man was suffering of mechanical knee pain. He previously had a non-union left diaphyseal tibial fracture and had undergone a reduction and internal fixation at least three times, an anterior cruciate ligament reconstruction with a patellar tendon autograft and a medial collateral ligament reconstruction with hamstring tendon autograft some 15 years ago. Pre-morbility, he was HBV positive. Clinical examination revealed a combined valgus deformity by a medial collateral ligament insufficiency and a tibial shaft deformity in a multioperated lower limb with range of motion (ROM) of 0° to 140°. Radiographs revealed a malunited diaphyseal tibial fracture and degenerative changes in articular cartilage of the lateral compartment of the knee (Fig. 1). The patient, was at a relatively young age to receive a total knee arthroplasty. Additionally, he displayed good range of motion, so the patient was candidate for an osteotomy to correct the supero-lateral tilt to the joint line. (Badhe & Foster, 2002; Goradia and Van Allen, 2002; Phisitkul et al, 2006).

Digital Templating and Correction of a Valgus Post-Traumatic Lower Limb Deformity