Tibial non-union treated with the TL-Hex

A case report

Abstract

Tibial non-unions are difficult to treat, even for the experienced orthopaedic trauma surgeon. Despite being relatively common problems, controversy exists regarding their ideal management. We report a case of a stiff oligotrophic tibial non-union successfully treated with the new TL-Hex (Orthofix, Verona, Italy) circular external fixator. Closed gradual distraction was effective to correct all deformities and stimulate bone formation without the need for a tibial osteotomy or bone graft.