Hypertrophic Tibial Nonunion with Oblique Plane Deformity Treated with TSF

A 46 year old male with a hypertrophic tibial nonunion and limb length discrepancy was treated by closed means with a Taylor Spatial Frame (TSF) (Smith & Nephew, Memphis, TN, USA). Distraction and deformity correction with the TSF allowed for stimulation of the nonunion and resolution of the deformity without open approach to the nonunion. The tibial healed in 4.5 months. This case highlights the ability of hypertrophic nonunions to undergo osteogenesis in response to gradual traction.