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Fibulectomy for Fractures of the Tibia with Intact Fibula

- Discussion:
    - displaced tibia frx assoc w/ intact fibula are difficult to maintain in plaster;
    - varus malunion of tibia is common and difficult to overcome;
    - delayed union and tibial non unions are also common when tibial frx occurs with an intact fibula;
    - hypertrophic nonunions (w/ intact fibula)
           - initially are best treated w/ partial fibulectomy (1 cm) & full wt-bearing in a plaster cast;
                  - success rate of greater than 75%;
                  - note, however, that partial fibulectomy may interfere with future plans for posterolateral bone grafting;
           - if fibulectomy fails to incite tibial healing, consider fixation w/ plate, IM nail, or an external fixator;

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