Tibial shaft fracture after tibial tubercle osteotomy in total knee replace
ment is a rare complication. We report on a 67-year-old man who had a knee
revision arthroplasty in which a long tubercle osteotomy was performed to f
acilitate exposure. Three weeks after surgery, he presented with a transver
se shaft fracture, which became a nonunion requiring surgical management. T
his shaft nonunion and its solution after tibial tubercle osteotomy is disc
ussed as well as relevant literature.