Abstract:
Infective nonunions of juxtaarticular proximal tibia are one of the most difficult orthopaedic
problems. There are very few studies in English literature describing the management of
juxtaarticular proximal tibial infective nonunions. They are usually associated with soft tissue
problems and complex deformities. We present 22 years old male patient with proximal tibia
infective nonunion associated with discharging sinus, adherent skin and complex deformity,
who underwent gradual deformity correction just distal to nonunion site followed by
compression at nonunion by Ilizarov methodology. It is a novel technique to treat
juxtaarticular proximal tibial infective nonunion along with deformity correction, which
avoids the probable complications like loss of soft tissue coverage and articular cartilage
damage associated with radical debridement of nonunion site. At six months follow up his limb
was well aligned with radiological evidence of union. At four year follow up patient was free
from pain, deformity and infection.
