How do you fix a malunion fracture?

How do you fix a malunion fracture?

How is a Fracture Malunion Treated? A surgical procedure can help reverse severe cases of malunion and ensure correct fracture healing. Osteotomy, an orthopedic surgical procedure, is commonly used to realign the bones in the correct position. The procedure may involve shortening or lengthening before the realignment.

Can a malunion be fixed without surgery?

Malunion treatment Some malunion fractures do not require surgery or treatment because there is not reduced function from the injury. However, if the broken bone positioning is damaging, surgical treatment may be necessary for a return to a normal functional lifestyle.

What are the methods of treating a fracture of the tibia in the middle third?


  • Treatment modalities for closed diaphyseal tibial fractures seem to be limited to intramedullary nailing, plating, casting, or bracing.
  • Plating, intramedullary nailing, and external fixation are other methods of treatment.

How do you treat a fractured tibia?

Treatment options for tibial fractures can include:

  1. Immobilization. A splint, sling, or cast that helps keep the bones in place while it gets better.
  2. Traction. Traction is a method of stretching your leg so that it can stay straight.
  3. Surgery. Surgery may be needed to fix a broken tibia.
  4. Physical therapy.

How do you know if you have malunion?

Symptoms of a malunion or nonunion can include constant pain long after your fracture was treated. Both can cause inflammation or infection because of damage to surrounding tissue.

How do you know if you have a malunion?

The symptoms of a fracture malunion include: Swelling. Pain. Tenderness.

How is a malunion treated?

Treatment for a malunion in the lower limb often involves surgery to correct the alignment of the fractured bone and improve function in the involved leg. The major bones of the lower limb include the femur (thighbone) and tibia (shinbone).

Can you walk on a tibia fracture?

Can you still walk with a fractured tibia? In most cases, the answer is no. Walking after a tibia fracture can make your injury worse and may cause further damage to the surrounding muscles, ligaments and skin. Walking on a fractured tibia is also likely to be extremely painful.

What is the top of the tibia called?

The top surface of the tibia (the tibial plateau) is made of cancellous bone, which has a honeycombed appearance and is softer than the thicker bone lower in the tibia.

How serious is a fractured tibia?

This type of fracture is fairly severe and may require surgery for full recovery. The bone fractures at an angle and is fairly stable. It may become more displaced over time, especially if the fibula is also broken. The bone breaks into three or more separate pieces.

Can a tibia heal without surgery?

These fractures are usually transverse (across) or oblique (slanted) breaks in the bone. Distal tibial metaphyseal fractures usually heal well after setting them without surgery and applying a cast. However, there is a risk of full or partial early closure of the growth plate.

What is malunion of the tibia?

Tibial malunion, a fracture healed in a position that affects the mechanical function of the limb, can be difficult to assess and to correct surgically. Precise definition of malunion has yet to be determined, and the limits of deformity which are associated with arthritic change also remain imprecise.

Can Varus malalignment cause osteoarthritis after a tibial shaft fracture?

Although varus malalignment of the lower limb occurs occasionally and may cause osteoarthritis in the medial compartment of the knee, other factors are more important in causing osteoarthritis after a tibial shaft fracture. Aged Female Follow-Up Studies Fracture Fixation, Internal / adverse effects

How common are tibial shaft fractures?

Philip Wolinsky University of California at Davis Tibial Shaft Tibial Shaft FracturesFractures •• Most common long bone Most common long bone fracture •• 492,000 fractures yearly 492,000 fractures yearly •• Average 7.4 day hospital Average 7.4 day hospital stay

Are Malunions associated with the development of osteoarthritis?

Apart from an association between shortening of > or = 10 mm and self-reported knee pain (p = 0.016), there were no significant univariate associations between these malunions and the development of osteoarthritis.

Does angulation of a broken tibia lead to osteoarthritis?

Background: Fractures of the shaft of the tibia often heal with some angulation. Although there is biomechanical evidence that such angulation alters load transmission through the joints of the lower limb, it is not clear whether it can eventually lead to osteoarthritis.