Distal Tibial Nonunion Treated by Intramedullary Reaming with External Immobilization

Chi Chuan Wu*, Chun Hsiung Shih

*Corresponding author for this work

Research output: Contribution to journalJournal Article peer-review

15 Scopus citations


Seventeen distal tibial nonunions were treated by a combination of metal removal with closed intramedullary reaming for internal bone graft and application of a long leg cast for aseptic nonunions and an external fixator for quiescent septic nonunions. The nonunions were present for a median of 1.8 years (range, 1.2-3.4 years). All achieved a solid union with a union period of 5.2 ± 1.6 months. There was one complication of a renewed infection in a septic nonunion. The functional rating score improved from all unsatisfactory before treatment to 13 satisfactory after treatment. The other four (all were infected nonunions) also improved from poor to a fair outcome. In conclusion, the technique described is a simple and effective method to treat some complex distal tibial nonunions.

Original languageEnglish
Pages (from-to)45-49
Number of pages5
JournalJournal of Orthopaedic Trauma
Issue number1
StatePublished - 1996
Externally publishedYes


  • Distal tibial nonunion
  • External immobilization
  • Intramedullary reaming


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