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An Uncommon Complication of Ankle Varus During Tibial Transport in an Ilizarov Frame: A Case Report
Vikas Gupta1, Vishal Champawat2, Prateek Behera2
1Central Institute of Orthopedics, Vardhaman Mahavir Medical College and Safdarjung Hospital, New Delhi, India.
Case:
We treated a 22-year-old man with an infected fracture of the tibia by resection of necrosed bone and bone transport with an Ilizarov device. Four weeks after initiation of transport, an ankle varus deformity from distal migration of the fibula was noticed. A wire that had been incorrectly placed through both the fibula and the transport fragment of the tibia was identified as responsible for this complication. It was changed after an acute reversal of the transport.
Conclusion:
Errors in the surgical technique during the insertion of Ilizarov wires can result in unusual complications. Attention to details is a must to avoid them.
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