Tibia malunion with angular deformity: Corrective osteotomy and intramedullary fixation with the chipping technique
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 d...
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| Main Authors: | , |
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| Format: | Article |
| Language: | English |
| Published: |
Biomedical Research Network+, LLC
2018
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| Subjects: | |
| Online Access: | http://irep.iium.edu.my/61495/1/BJSTR.MS.ID.000628.pdf http://irep.iium.edu.my/61495/ http://biomedres.us/pdfs/BJSTR.MS.ID.000628.pdf |
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| Summary: | 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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