Use of Fibula Bridge Graft Technique to Treat a Distal Tibia Non Union- A Case Report

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What to Learn from this Article?

 1. Planning and Execution of fibula bridge graft technique for treatment of distal tibia non-union?

Case Series | Volume 3 | Issue 1 | JOCR Jan – March 2013 | Page 11-14

Authors: Amyn Rajani [1], C J Thakkar [2], Ravi Shah [1], Ashok Shyam [3]

[1] The Orthopaedic and Knee Speciality Clinic, Court House, Mumbai, Maharashtra India.

[2] Lake side nursing home, Bandra (west), Mumbai, Maharashtra India.

[3] Indian Orthopaedic Research Group, Thane, Maharashtra India.

Address of Correspondence: Dr Amyn Rajani. The Orthopaedic and Knee Speciality Clinic, Court House, first floor, Near Dhobi Talao, Mumbai, Maharashtra India. Email –


Introduction: Compound distal tibia fractures have high incidence of nonunions and have varied presentation as far as status of fibula is concerned. If fibula is sufficiently healthy we can use it for bridging the nonunion of tibia.

Case Report:  We present a case of 20 year old female with compound and segmental tibia fracture. Primary stablisation by external fixation and later cast brace application achieved union at the proximal end of the segmental fragment with non union at the distal end. This was then treated with bridge grafting of fibula and screw fixation of fibula to the tibia. Five years follow shows good clinical and functional outcome without any complications.

Conclusion: Its infrequent to find fibula spanning across the tibia nonunion, however when available this can be used as bridge graft to promote healing.

 Keywords: Fibula Bridge Grafting, Tibia Nonunion, bone grafting.


How to Cite This Article:  Rajani A, Thakkar C J, Shah R, Shyam AK. Use of Fibula Bridge Graft Technique to Treat a Distal Tibia Non Union- A Case Report. Journal of Orthopaedic Case Reports 2013 Jan-March;3(1):11-14. Available from:

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