Nonoperative Management of Proximal Tibiofibular Joint Synostosis after Tibial Intramedullary Nailing

Figure 1

Proximal tibiofibular joint synostosis. (a) AP X-ray of the left proximal tibia show the tibial nail in an acceptable position with visible TFJ synostosis. (b) Axial CT scan showing appropriate position of the implant and TFJ synostosis. (c) Axial CT scan showing appropriate position of interlocking screw without excessive prominence. (d) CT scan demonstrating a potential soft tissue damage from drilling through the TFJ space into the fibula. (e) 3D reconstruction showing TFJ synostosis.

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