TIBIAL MALUNION WITH ANGULAR DEFORMITY MANAGED WITH CORRECTIVE OSTEOTOMY AND PHILOS PLATING IN A 15-YEAR MALE - CASE REPORT AND REVIEW OF LITERATURE

Tibia and fibula shaft fracture are common among young and old, if they are not managed correctly, can be debilitating in long term. Management of these fractures depends on severity,stability, and pattern of fracture. Options can range from conservative management by plate to external fixation, especially in the case of an open fracture. Unfortunately, the ideal fixation option (commonly used plate or nail) implant is not always available in operation theatre, in such circumstances closed reduction if not properly maintained can lead to malunion, especially in young age when healing is very rapid and such malunion can lead to early induced arthritis or many other complications¹. here we discuss a case of 15-year-old male with a left distal tibia and fibula malunited fracture 11 monthsold, who presented with complaints of pain and deformity over distal 1/3 rd of right lower leg, patient required open reduction and internal fixation with 4-holePHILOS (PROXIMAL HUMERAL INTERNAL LOCKING SYSTEM) plate for tibia andLCP(Locking Compression Plate) plate for fibula. We conclude that in cases of distal tibia and fibula malunion when managed with open reduction internal fixation with osteotomy with PHILOSplating for deformity correction gives good result.