Treatment Principles of Nonunion

17.12.3.2 Case 2

A 47 year old man fell from his bike and sustained a distal tibia and fibula fracture. The patient was treated with unreamed intramedullary nailing and developed hypertrophic nonunion of the tibia. Seven months following initial revision, surgery was performed including removal of hardware, limited reaming, osteosynthesis with dynamically locked compression nail, fibula osteotomy, and tension band fixation. Hardware was removed following uneventful healing of nonunion.

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