Mohd Yusof, Nazri and Abot, Muhammad Syukree
(2018)
Tibia malunion with angular deformity: Corrective osteotomy and intramedullary fixation with the chipping technique.
Biomedical Journal of Scientific and Technical Research, 2 (1).
pp. 1-4.
E-ISSN 2574-1241
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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