{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,11]],"date-time":"2025-12-11T17:33:57Z","timestamp":1765474437508,"version":"3.48.0"},"reference-count":0,"publisher":"Indian Orthopaedic Research Group","issue":"12","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Jocr"],"published-print":{"date-parts":[[2025]]},"abstract":"<jats:p>Introduction: Non-union of long bone fractures, particularly of the tibia, presents considerable challenges due to poor vascularity, minimal soft-tissue coverage, and complications such as implant failure or infection from previous surgeries. Tibialization of the fibula remains a viable, though underreported, technique for addressing such complex cases.\n\nCase Report: We report a case of a 26-year-old male with a history of poliomyelitis who presented with non-union of the left tibia following implant failure. Clinical evaluation revealed 4 cm limb shortening and varus deformity. Radiographs showed a broken 4.5 mm limited contact dynamic compression plate and multiple loosened screws. Given the intact fibula and adequate vascular and soft-tissue status, the Huntington method for tibialization was selected. The surgical approach included implant removal, debridement of non-union margins, and medial transfer of the fibula using anterolateral and lateral approaches. Postoperatively, the patient experienced transient vascular compromise, which resolved without intervention. At 6 months, radiographs confirmed proximal tibiofibular union, and the patient had regained functional mobility.\n\nConclusion: Fibular tibialization using the Huntington procedure offers a low-complexity, implant-sparing solution for managing tibial non-union, especially in patients with compromised bone and soft-tissue conditions. This case demonstrates favorable outcomes with minimal complications.\n\nKeywords: Tibial non-union, fibular tibialization, Huntington procedure, implant failure, poliomyelitis, limb reconstruction.<\/jats:p>","DOI":"10.13107\/jocr.2025.v15.i12.6470","type":"journal-article","created":{"date-parts":[[2025,12,11]],"date-time":"2025-12-11T17:29:32Z","timestamp":1765474172000},"page":"108-112","source":"Crossref","is-referenced-by-count":0,"title":["Tibialization of Fibula in an Implant Failure Non-Union Poliotic Limb: A Case Report"],"prefix":"10.13107","volume":"15","author":[{"name":"Department of Orthopaedics, Dayanand Medical College and Hospital, Ludhiana, Punjab, India,","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sajal","family":"Maingi","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Pritam","family":"Samanta","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"name":"Department of Orthopaedics, Apollo Multispecialty Hospitals, Kolkata, West Bengal, India,","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Simarjot Singh","family":"Sodhi","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"name":"Department of Orthopaedics, Hamdard Institute of Medical Sciences and Research, New Delhi, India,","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rajesh Kumar","family":"Chopra","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"name":"Department of Orthopaedics, ESIC Medical College and Hospital, Faridabad, Haryana, India.","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"5271","published-online":{"date-parts":[[2025]]},"container-title":["Journal of Orthopaedic Case Reports"],"original-title":[],"deposited":{"date-parts":[[2025,12,11]],"date-time":"2025-12-11T17:29:33Z","timestamp":1765474173000},"score":1,"resource":{"primary":{"URL":"https:\/\/jocr.co.in\/wp\/2025\/12\/tibialization-of-fibula-in-an-implant-failure-non-union-poliotic-limb-a-case-report\/"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025]]},"references-count":0,"journal-issue":{"issue":"12","published-online":{"date-parts":[[2025]]},"published-print":{"date-parts":[[2025]]}},"URL":"https:\/\/doi.org\/10.13107\/jocr.2025.v15.i12.6470","relation":{},"ISSN":["2321-3817"],"issn-type":[{"value":"2321-3817","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025]]}}}