Abstract

Introduction: Distal tibia involvement is very rare and it merely accounts for around 4% of all the excised lesions. (Mirra, 1989) Distal tibia osteochondromas mainly present pain, deformity like varus/valgus around ankle joint, pathologic fractures of surrounding structures and for the above-mentioned problems, surgical excision has to be considered as a possible option. (Ismail et al., 2008). Methods: We conducted a prospective study from 1st June 2018 to 1st June 2021 including five patients (4 males and 1 female) with distal tibia osteochondroma. In our study, surgical excision was performed in all the cases. Pre-operative and at final follow-up ‘AOFAS-AHFS score’ and ‘VAS score’ were evaluated. Results: All five patients had good functional outcome at final follow-up, mean AOFAS-AHFS score improved from 61.2±5.4 to 85±3.39, and mean VAS score improved from 7.2±0.83 to 0.8±0.44 at final follow-up and found no difficulty in daily routine activities. All patients had complete ROM at final follow-up. Conclusion: Distal tibia osteochondroma has good functional outcome and less complications, if managed properly.

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