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7%) after a mean of 6months (range, 3-13). The mean Lysholm Knee Score at the final follow-up was 83.2 ± 11.6. Two patients did not reach definitive union during the follow-up. In one patient, an infection of the nonunion following bone grafting was successfully treated with a two-stage procedure. Two patients needed additional cancellous bone grafting 6 and 8months after the first revision surgery. All patients showed pain-free full weight bearing after union was achieved. Nonunions after OWHTO can generally be treated successfully w