SA Orthopaedic Journal
On-line version ISSN 2309-8309
Print version ISSN 1681-150X
Tibial non-unions are difficult to treat, even for the experienced orthopaedic trauma surgeon. Despite being relatively common problems, controversy exists regarding their ideal management. We report a case of a stiff oligotrophic tibial non-union successfully treated with the new TL-Hex (Orthofix, Verona, Italy) circular external fixator. Closed gradual distraction was effective to correct all deformities and stimulate bone formation without the need for a tibial osteotomy or bone graft.
Keywords : tibia; non-union; oligotrophic; hexapod; TL-Hex.