DOI: 10.36347/sjams.2013.v01i06.0049

Pages: 870-872

Fracture of both bones leg is commonly seen in clinical practice. The most common complication of distal third fractures is delayed union /non-union. Here in our case we opted, Ilizarov technique for the management of delayed union with multi-planar deformity in a single sitting. A 40 years old female came to the Outpatient department with complains of deformity of Right Leg and difficulty in walking. Diagnosis was made as delayed union of the lower third tibia fracture with anterior deformity angle of around 40°and lateral deformity angle of around 45°. We finally diagnosed the case as multi-planar deformity with delayed union of fracture distal third of tibia. We managed our case by fibular osteotomy followed by application of Ilizarov fordifferential distraction and compression with angular correction of the delayed union of distal third of tibia. At twelve weeks there was no tenderness and deformity was completely corrected. X-ray shows complete healing of fracture. Now at six months patient is doing her daily routine activity including farming without any discomfort in the leg. We conclude that fractures of distal third of tibia are prone for delayed/non-union. Diagnosis is by clinical and radiological examination. Ilizarov technique is the best modality of treatment to correct multi planar deformity and delayed union of distal third tibial fractures. Proper technique and regular follow up helps in good functional outcome.