Management of Distal Tibial Interosseous Osteochondroma: A Case Series and Review of Literature

Document Type : CASE REPORT


1 Bone and Joint Diseases Research Center, Department of Orthopedic Surgery, School of Medicine, Shiraz University of Medical Sciences, Shiraz, Iran

2 Department of Surgery, School of Medicine, Bushehr University of Medical Sciences, Bushehr, Iran


The interosseous part of the distal tibia is one of the regions in which osteochondroma can occur. 
Osteochondroma typically occurs among growing children and causes gradual ankle deformity by its 
pressure effect on the fibula. We presented six patients (Fi ve boys and one girl with median age of 13 
years old) with distal tibial interosseous osteochondroma. They were treated by a 18 0̊ fibular osteotomy 
around its longitudinal axis just proximal and distal to the lesion. All patients were treated without any 
complication except for one who developed non-union of the site of the fibular osteotomy. In the last 
follow-up, all the patients were pain-free, and no recurrence was reported. Various methods have been 
described for resecting interosseous osteochondroma of the distal tibia, with or without fibular 
osteotomy and with or without acute correction of ankle deformity during resection surgery. Still, there 
is no consensus over the best method for resecting such lesions.
 Level of evidence: VI


Main Subjects

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