SynthesisMedicina (Kaunas, Lithuania)2022
Malunion of the Tibia: A Systematic Review.
Synthesis in Medicina (Kaunas, Lithuania), 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 1 of them a synthesis that pooled it.
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Who cites it
22 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Diabetes and the risk of delayed union or non-union of fractures: evidence from a systematic review and meta-analysis.Scientific reports · 2026Pooled it
- Tibial condylar valgus osteotomy for posttraumatic varus deformity secondary to malunited tibial plateau fractures: a retrospective cohort study.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2026Article
- Experience with patient-specific guides, insteatientad of general surgical experience, improves the accuracy of 3D-guided corrective osteotomies.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2026Article
- Article
- Reverse dome osteotomy for valgus knee from tibial plateau malunion in a young adult: a case report.International journal of surgery case reports · 2026Article
- Open Tibial Fractures Part 2: A Narrative Review of Definitive Treatment and Potential Applicability to the Southern African Context.Orthopedic research and reviews · 2026Review
- Distinct Patient Characteristics and Risk Profiles in Upper vs. Lower Leg Fractures: Insights from a Comprehensive Cohort Study.Diagnostics (Basel, Switzerland) · 2025Article
- Innovative imaging-based pre-operative planning for correction of proximal femur malunion with implants in-situ usingJournal of clinical orthopaedics and trauma · 2025Article
- Comparison of Three Surgical Options for Treatment of Diaphyseal Tibia Fractures in Pediatric Patients.Journal of the Pediatric Orthopaedic Society of North America · 2025Article
- Time to consider fracture nonunion an orphan disease? An update into pathophysiology, epidemiology and therapeutic solutions.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2025Review
- Decreasing utilization of tibial osteotomy and regional disparities: A population-based study of all surgeries in Sweden from 2008 to 2023.Journal of experimental orthopaedics · 2025Article
- Successful Correction of Lower-Limb Malunions Using Intramedullary Nailing and Chipping Osteotomy: A Case Series.The American journal of case reports · 2025Article
- Controlled delivery of mesenchymal stem cells via biodegradable scaffolds for fracture healing.Nanomedicine (London, England) · 2025Review
- Optimizing Outcomes in Distal Tibial Deformity Correction: The Role of Supramalleolar Osteotomy with Computer-assisted Hexapod External Fixator.Orthopaedic surgery · 2024Article
- Importance of injury severity in the choice of treatment and its impact on prognosis in gunshot fractures.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2024Article
- Conversion of failed revision total knee arthroplasty in arthrodesis with modular nail maintaining the uncemented femoral stem in patient with extensor mechanism insufficiency: a case report.Journal of medical case reports · 2024Article
- Article
- Article
- [Three-dimensional analysis of posttraumatic tibial shaft malunion and correction based on the healthy, contralateral leg].Operative Orthopadie und Traumatologie · 2023Review
- Mathematically Directed Single-Cut Osteotomy.Medicina (Kaunas, Lithuania) · 2022Review
Corrections and comments
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Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Background and Objectives: Tibial malunions are defined as tibial fractures that have healed in a clinically unacceptable position, resulting in deformity such as shortening, lengthening, abnormal rotation, or angulation. These deformities can have adverse effects on patients, such as pain and gait disturbance, as well as long term development of post-traumatic arthritis. This paper seeks to highlight some of the options for surgical management of malunions and detail the strategies and approaches used to manage these complicated cases. Materials and Methods: An exhaustive search was conducted on PubMed using the key search terms “Tibial” OR “Tibia” AND “Malunion” to be included in the title. Exclusions to the search included any article with patients aged < 18 years, any nonhuman subjects, and any article not published or translated into English. Results: A systematic review of the literature revealed 26 articles encompassing 242 patients who had undergone surgical correction for tibia malunion. A total of 19 patients suffered from complications. Methods of treatment included osteotomies, with plate and screws, external fixator, angled blade plate, intramedullary nails, Ilizarov fixator, Taylor Spatial Frame, Precise nail, and total knee arthroplasty. Restoring alignment and the articular surface led to overwhelmingly positive patient outcomes. Conclusions: Tibial malunions take many forms, and as such, there are many approaches to correcting deformities. The literature supports the following radiological parameters to diagnose tibial malunion: 5−10 degrees angulation, 1−2 cm shortening, 10−15 degrees internal rotation, and 10−20 degrees external rotation. Surgical plans should be customized to each individual patient, as there are many approaches to tibial malunion that have been shown to be successful in delivering excellent clinical outcomes.
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