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Tibial Malunion - Case 1

46y/o male with tibial malunion and resulted varus knee arthritis 20 years after tibial shaft fracture treated with long leg casting.

Long leg Standing A/P view

Return to Tibial Malunion.

Lateral view

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External Fixation

EBI DFS Fixator (T)

EBI DFS Hybrid (T)

Synthes Large Ex Fix (T)

Standing A/P view

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Tibial Nails

Biomet Tibial Nail (T)

Depuy VersaNail (T)

Stryker T2 Nail

Synthes Tibial Nail (T)

Lateral knee view

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Treated with oblique osteotomy, fibular osteotomy and tibial IM nail as first staged of planned TKA after osteotomy union.

Post-Op A/P view.

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Post-Op Lateral view.

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Patient reported 80% resolution of knee pain after osteotomy union and elected not to have TKA.

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