Maurya Vivek, Faisal Mohd, Kukde Padmanabh
Department of Orthopaedics, Indira Gandhi Government Medical College, Nagpur, Maharashtra, India.
J Orthop Case Rep. 2025 May;15(5):56-60. doi: 10.13107/jocr.2025.v15.i05.5554.
Fractures of the tibial shaft are prevalent in developing countries such as India, often resulting from road traffic accidents. Inadequate access to medical care, financial constraints, and lack of awareness often lead to suboptimal treatment, increasing the risk of complications such as malunion. Malunion may manifest as shortening, angular, or rotational malalignment. However, managing such deformities presents significant challenges, especially when associated with soft-tissue contractures and severe bony deformities. Advances in orthopedic techniques, including corrective osteotomy, internal fixation, external fixation, and Ilizarov ring fixation, have improved outcomes in treating these deformities.
This is a case report of a 57-year-old female who presented to the outpatient department with a deformity of her left leg, having a traumatic history 9 months ago for which she took treatment from a quack. She underwent a single-stage deformity correction using the intramedullary interlocking nail and achieved clinical and radiological union following the same.
Malunited tibia fractures can be treated effectively with corrective osteotomy and internal fixation with intramedullary nails.
胫骨干骨折在印度等发展中国家很常见，通常由道路交通事故导致。获得医疗服务不足、经济限制以及缺乏认识常常导致治疗不充分，增加了诸如骨不连等并发症的风险。骨不连可能表现为短缩、成角或旋转畸形。然而，处理此类畸形存在重大挑战，尤其是当伴有软组织挛缩和严重骨畸形时。骨科技术的进步，包括截骨矫形、内固定、外固定和伊里扎洛夫环形固定，改善了治疗这些畸形的效果。
这是一例57岁女性的病例报告，该患者因左腿畸形前来门诊就诊，9个月前有外伤史，当时她接受了江湖郎中的治疗。她使用髓内交锁钉进行了一期畸形矫正，并在此之后实现了临床和影像学愈合。
采用截骨矫形和髓内钉内固定可有效治疗胫骨骨折不愈合。
