Presentation: Lower limb deformity, with pain or short limb gait
Examination: -short limb gait -Leg deformity , medial or lateral angulation -shortening -swelling at # site - painless and no abnormal movement -ankle and knee joints - normal ROM -Neurovascular - normal
Common Qs: 1.How to differentiate between non union ,delayed and malunion.
2.Causes: -improper reduction - neglected,bomoh, unexperienced doctor. -improper immobilization - early removal of POP, early weight bearing
3.How much angulation allowed? -5-10 degrees.
4.Treatment: -Corrective osteotomy& ORIF
5.Complications? -Early OA knee and ankle - malalignment -early back pain - shortening