Orthopaedics General d4a3bd5b

Treatment of choice for non-united fracture of lower 1/4th tibia with multiple discharging sinuses & various puckered scar with 4 cm shortening of leg -

Plating

External fixator

Ilizarov's fixator

Intramedullary nail

High-Yield Explanation

Patient in question has infected non-union (multiple discharging sinuses & various pukered scar) with shortening of 4 cms. Ilizanov fixation with distraction osteogenesis will be the best option.

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Treatment of choice for non-united fracture of lower 1/4th tibia with multiple discharging sinuses & various puckered scar with 4 cm shortening of leg -

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