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Acute on Chronic Stress Fracture of a Varus Deformed Distal Tibia - A Case Report -
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Seong Kee Shin, Ki Chun Kim, Eli Schmidt, Seung Yeon Cho, Ki Chul Park
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J Musculoskelet Trauma 2024;37(4):184-189. Published online October 25, 2024
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DOI: https://doi.org/10.12671/jmt.2024.37.4.184
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 Abstract
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- A severe post-traumatic distal tibia vara deformity is an uncommon condition in orthopedics. Typical symptoms include intractable recurrent pain, fragility related to stress fractures over the tensile area, and a limping gait caused by leg length discrepancy. Surgical management should be performed on acute fractures extending from a stress fracture gap. For successful surgical results, deformity correction is important for sustaining axial load bearing for standing and walking. Procedures to manage this condition have been proposed, but there is a high risk of complications, including metal failure, nonunion, and weakness caused by a long period of rehabilitation. In this case, the authors report a successful result using a modified clamshell osteotomy combined with a proximal and distal wedge bone resection in a single stage.
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