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Bilateral proximal tibial stress fractures in osteoarthritic knee treated with simultaneous corrective osteotomy and internal fixation.

We report a patient who had bilateral stress fractures of proximal tibial shaft secondary to advanced osteoarthritis of knee with varus deformity. With treatment by simultaneous correction of deformity and internal fixation, the fractures healed uneventfully and the chronic knee pain was much alleviated. Due to progression of the symptom, right total knee replacement was finally performed 9 years later. Her left knee still did well after 13-year follow-up.