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Tibial Shaft Malunion Cases

 Tibial Shaft Fracture Malunion 46y/o male with tibial malunion and resulted varus knee arthritis 20 years after tibial shaft fracture treated with long leg casting.

Long leg Standing A/P view

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Tibial Shaft Fracture Malunion Lateral view

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Tibial Shaft Fracture Malunion Standing A/P view

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knee lateral xray

Lateral knee view

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Tibial Shaft Fracture Malunion IM nail Treated with oblique osteotomy, fibular osteotomy and tibial IM nail as first staged of planned TKA after osteotomy union.

Post-Op A/P view.

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Tibial Shaft Fracture Malunion osteotomy Post-Op Lateral view.

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Patient reported 80% resolution of knee pain after osteotomy union and elected not to have TKA

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