Spatial Frame Correction of an Infected Distal Metaphyseal Tibial Nonunion/Malunion

This case demonstrates the advantages of a spatial frame to correct a distal tibial malunion/nonunion. In this particular situation the patient presented with a history of infection after a failed internal fixation procedure. He developed drainage and had hardware removal, debridement, and antibiotics. He was referred to our institution a year later complaining of pain and inability to bear weight. In the space of 4 months, the deformity was corrected with a fibular osteotomy, spatial frame to the tibia, and gradual correction.