Simultaneous Correction of a Tibia Deformity and Non-union in Achondroplasia: A Case Report
https://doi.org/10.5704/MOJ.2207.018
- Author:
Achudan S
1
;
Premchand AXR
1
;
Low JS
2
;
Decruz J
1
;
Khan SA
1
Author Information
1. Department of Orthopaedics, Khoo Teck Puat Hospital, Singapore
2. Department of Neurosurgery, Khoo Teck Puat Hospital, Singapore
- Publication Type:Journal Article
- Keywords:
achondroplasia, tibia, non-union, deformity correction, hexapod
- From:Malaysian Orthopaedic Journal
2022;16(No.2):131-135
- CountryMalaysia
- Language:English
-
Abstract:
Tibial non-union with deformity in abnormal bone is rarely
reported in literature. We report a case of a 65 years old male
with a history of achondroplasia. The patient presented after
a mechanical fall with an undisplaced right midshaft tibia
fracture associated with pre-existing varus and procurvatum
tibial deformities, which was initially managed nonoperatively. However, after nine months he developed a
painful non-union. Because of the symptomatic non-union as
well as the pre-existing deformities, osteotomy of the tibia
and fibula was performed with the application of a TruelokHexapod (TL-Hex, Orthofix) frame. We were able to achieve
compression at the fracture site, and the software guided TLHex frame enabled gradual three-dimensional correction of
the deformity. At six months, bony union and simultaneous
correction of the tibia deformity were achieved. At two
years, the patient was able to ambulate well without pain and
perform his activities of daily living. We present a case of
tibial non-union with pre-existing deformity in an
achondroplasia patient successfully treated with a circular
frame application.
- Full text:16.2022my1260.pdf
