#Tibia Malunion with #Angular Deformity: Corrective #Osteotomy and Intramedullary Fixation with the Chipping Technique by Nazri Mohd Yusof in BJSTR
Abstract
There are few options for correcting severe malunion of tibial shaft.
Acute correction by close wedge osteotomy followed by fixation with
plate is a standard treatment for this but associated with shortening
and non-union. Gradual correction with circular external fixation is
able to
correct the deformity without producing shortening. However it is
uncomfortable and require tedious nursing and rehabilitative care.
Chipping the non-union site was associated with a favorable outcome for femur
fracture because it biologically enhances fracture healing. However,
there
is no report on chipping osteotomy for tibia mal-union. We consider
chipping osteotomy as a treatment option for this patient who refuses to
have external fixation for his treatment. Patient achieved corrected
alignment of tibia and fracture union in 5 months. However he develops
problem with wound healing of the wound.
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