Salvage of an Infected Malunion of a Lateral Tibial Plateau with Staged Revision to a Bulk Osteochondral Allograft and Associated Lateral Meniscal Transplant

Following internal fixation of a tibial plateau fracture, this 44 year old woman developed a chronic indolent infection with methicillin-resistant Staphylococcus epidermidis (MRSE). After removal of the plate and screws, the subchondral bone resorbed and the articular surface collapsed, with significant pain and disability. Considered relatively young for joint replacement, this was salvaged and the joint restored in a staged fashion using a functional antibiotic polmethylmethacrylate (PMMA) cement spacer. This was later definitively reconstructed using a frozen osteochondral allograft, including an associated lateral meniscus.