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
Table 1 Demographic data and surgical details of the patients.
| Case | Age | Sex | Bone | Limb | Cause of deformity | Deformity | Surgery time (min) | Breeding (ml) | ||
|---|---|---|---|---|---|---|---|---|---|---|
| Coronal | Rotational | Limb length discrepancy (mm) | ||||||||
| 1 | 47 | Male | Tibia | Left | Malunion | Varus (17°) | – | +1 | 236 | 350 |
| 2 | 59 | Male | Tibia | Right | Malunion | Valgus (19°) | – | +23 | 223 | 300 |
| 3 | 59 | Male | Femur | Left | Malunion | Varus (25°) | External (25°) | −45 | 200 | 235 |
| Average (SD) | 55±6.9 | 220±18 | 295±58 | |||||||
| SD – standard deviation. | ||||||||||