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Tibia malunion with angular deformity: Corrective osteotomy and intramedullary fixation with the chipping technique

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

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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.

Item Type: Article (Journal)
Additional Information: 3756/61495
Uncontrolled Keywords: Tibia malunion, angular deformity, corrective osteotomy,intramedullary fixation, chipping technique
Subjects: R Medicine > RD Surgery > RD701 Orthopedics
Kulliyyahs/Centres/Divisions/Institutes (Can select more than one option. Press CONTROL button): Kulliyyah of Medicine > Department of Department of Orthopaedics, Traumatology & Rehabilitation
Depositing User: Nazri Mohd. Yusof
Date Deposited: 23 Jan 2018 15:34
Last Modified: 10 Jun 2018 12:35
URI: http://irep.iium.edu.my/id/eprint/61495

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