Abstract
Post-traumatic pseudarthrosis of tibia is a known complication of open tibial fractures in adults usually occurring from high velocity injuries due to road traffic accidents.We report a case of post traumatic neglected, severely angulated, grossly deformed pseudarthrosis non union of tibia successfully managed with the use of free non-vascularised fibular strut graft.At surgery ,the sclerotic fracture fragments were excised,angulation corrected and ipsilateral free non-vascularised fibular strut graft harvested & inserted in the medullary cavity of tibia augmented by simple uniplanar external pin fixator for mechanical stabilization.Three months after surgery radiograph showed uniting fracture and at four months external fixator was removed.At six months it showed solid union with well functioning limb.
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