Bone Cutter
Malunited fracture of tibia
Sunday, November 28, 2010 2:29 AM | 0 SAID SOMETHING

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

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