Attaining tibiofibular union using an inter-tibiofibular autograft. A series of 43 cases

SummaryIntroductionThis study consisted of a series of 43 patients with lower leg non-union that were treated with an inter-tibiofibular autograft (ITFG).Material and methodsAfter reviewing the surgical technique, the overall theory behind the treatment is described, including stabilization, soft tissue repair, infection control if necessary and then performing a procedure to help achieve bone union.ResultsAfter an average follow-up of 2 years, all the patients achieved union, but some required additional procedures. Only one patient had a delayed reactivation of the infection, which was successfully treated.ConclusionA broad set of indications for ITFG are proposed for lower leg non-union cases, in particular non-infected cases.Level of evidenceLevel IV. Retrospective study.