1. Proximal Tibia Nonunion
A.Volna
Hospital №31, Moscow

2. 2005. High energy open fracture as a result of car accident
32 year old male patient
2005. High energy open fracture as a result of car accident
- First choice was Ilizarov surgical technique
In 8 months ExFix was changed to plate
2008. Pain and deformity. X-ray

3. 2008. Pain and deformity. X-ray Surgeons' decision
32 year old male patient
2008. Pain and deformity. X-ray
Surgeons' decision

4. 2009. Pain and deformity. X-ray Our decision?
32 year old male patient
2009. Pain and deformity. X-ray
Our decision?

5. 2009. Pain and deformity. X-ray Our decision: Brocken nail removal
32 year old male patient
2009. Pain and deformity. X-ray
Our decision:
Brocken nail removal
Fibula osteotomy
ChronOS as a bone substitute
Tibial Nail with reaming and changing of insertion point

6. 2009. Pain and deformity. X-ray Our decision: Brocken nail removal
32 year old male patient
2009. Pain and deformity. X-ray
Our decision:
Brocken nail removal
Fibula osteotomy
ChronOs as a bone substitute
Tibial Nail with reaming and changing of insertion point

7. 32 year old male patient
m after surgery

8. 32 year old male patient
m after surgery