06 June 2025
: Case report 
Successful Correction of Lower-Limb Malunions Using Intramedullary Nailing and Chipping Osteotomy: A Case Series
Unusual or unexpected effect of treatment
Ryota Nishida BCDEF 1, Palasara Brahmani Laras
E 1, Takahiro Niikura AB 2, Yohei Kumabe D 1, Yutaka Matsumiya D 1, Yuya Yamamoto D 1, Hyuma Kondo D 1, Jonathan Jonathan D 1, Genta Fukumoto D 1, Ryosuke Kuroda DG 1, Keisuke Oe ABCDEFG 1*
DOI: 10.12659/AJCR.947845
Am J Case Rep 2025; 26:e947845
Figure 4 Intraoperative fluoroscopy images of pre-chipping, post-chipping, and correction in case 3. The black arrows show the center of rotation of angulation (CORA). Before chipping, the chisel was inserted into the intramedullary canal. Chipping was extended to the healthy bones both proximally and distally. After chipping, we confirmed sufficient bone movement to achieve ideal alignment easily.