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Limb Lengthening and Reconstruction Surgery Case Atlas pp 1–7Cite as

Gradual Correction of Distal Tibia Malunion (Varus with Shortening)

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Abstract

Tibia deformity can cause abnormal biomechanics in the ankle resulting in chronic pain and arthritis. In addition, this case highlights the importance of optimizing a patient’s metabolic status to promote osteotomy healing. In this case, a chronic varus deformity with shortening resulted in medial ankle pain and early arthritis. A gradual correction utilizing the Taylor Spatial Frame obtained anatomic length and alignment. However, hypothyroidism caused a nonunion of the osteotomy. Correcting the metabolic disorder resulted in union of the osteotomy at 6 months postoperatively. The patient is now pain-free at the ankle with anatomic length and alignment.

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References and Suggested Reading

  • Brinker M, O’Connor DP, Monla YT et al (2007) Metabolic and endocrine abnormalities in patients with nonunions. J Orthop Trauma 21(8):557–570

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  • Holick M, Binkley N, Bischoff-Ferrari H, Gordon C, Hanley D, Heaney R, Murad M, Weaver C (2011) Evaluation, Treatment, and Prevention of Vitamin D Deficiency: An Endocrine Clinical Practice Guideline. J Clin Endocrinol Metab 96(7):1911–1930

    Article  CAS  PubMed  Google Scholar 

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Author information

Authors and Affiliations

  1. Allied Orthopaedics, 7979 W. Rifleman St, Boise, ID, 83704, USA

    Travis J. Kemp

Authors
  1. Travis J. Kemp
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Correspondence to Travis J. Kemp .

Editor information

Editors and Affiliations

  1. Hospital for Special Surgery, New York, New York, USA

    S. Robert Rozbruch

  2. Shriner's Hospital for Children, Montreal, Québec, Canada

    Reggie Hamdy

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© 2014 Springer International Publishing Switzerland

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Kemp, T.J. (2014). Gradual Correction of Distal Tibia Malunion (Varus with Shortening). In: Rozbruch, S., Hamdy, R. (eds) Limb Lengthening and Reconstruction Surgery Case Atlas. Springer, Cham. https://doi.org/10.1007/978-3-319-02767-8_105-1

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  • DOI: https://doi.org/10.1007/978-3-319-02767-8_105-1

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  • Publisher Name: Springer, Cham

  • Online ISBN: 978-3-319-02767-8

  • eBook Packages: Springer Reference MedicineReference Module Medicine

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