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ISSN: 2574 -1241
ISSN: 2574 -1241
Received: December 28, 2017; Published: January 04, 2018
DOI: 10.26717/BJSTR.2018.02.000628
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.
Abstract| Case Report| Discussion| References|
International Association of Landscape Archaeology, Czech Glass Society, Czech Republic
Department of Chemistry, Semenov Institute of Chemical Physics, USSR Academy of Sciences, Moscow, Russia
Pharmaco-kinetics, dynamics and Drug Metabolism, Touro College of Pharmacy, USA
Professor of Nuclear Medicine, Faculty of Medicine and Surgery, University of Milan, Milan, Italy
Associate Professor at Department of Breast and Thyorid Surgey, Chongqing General Hospital, China
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