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 2 Summary of clinical and radiographic outcomes.
| Case | Follow-up | Radiographic | ROM of the knee (extension/flexion) | Mikulicz line | Lengthening (mm) | |||
|---|---|---|---|---|---|---|---|---|
| Period (Months) | Bone healing (Months) | Preoperative | Final follow-up | Preoperative (%) | After 1 year (%) | Improvement (%) | ||
| 1 | 48 | 4 | 0/130° | 0/130° | −11 | 23 | 34 | +19 |
| 2 | 21 | 11 | −20/120° | −5/120° | 119 | 72 | 47 | +14 |
| 3 | 12 | 8 | 0/120° | 0/130° | −52 | 4 | 56 | +25 |
| Average (SD) | 27±19 | 7.7±3.5 | 45.7±11.1 | +19.3±5.5 | ||||
| ROM – range of motion; SD – standard deviation. | ||||||||