Case ReportOpen Access

Tibia Malunion with Angular Deformity: Corrective Osteotomy and Intramedullary Fixation with the Chipping Technique

Volume 2 - Issue 1

**Nazri Mohd Yusof* and Muhammad Syukree Abot**

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- Department of Orthopaedic, International Islamic University of Malaysia Medical Centre, Malaysia
*Corresponding author: Nazri Mohd Yusof, Department of Orthopaedic, Traumatology and Rehabilitation, Kulliyyah of Medicine, International Islamic University of Malaysia Medical Centre, Jalan Sultan Ahmad Shah, 25200 Kuantan, Pahang, Malaysia

Received: December 28, 2017; Published: January 04, 2018

DOI: 10.26717/BJSTR.2018.02.000628

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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.

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