We report two cases of multiapical deformity of the tibia, both of which were secondary to a distant history of tibial fracture
with resultant knee and ankle joint degeneration and deformity. Both cases had three levels of deformity that were addressed
with tibial osteotomy, ankle fusion, and total knee replacement. Initial presentation, problem lists, surgical treatment,
and subsequent results are reviewed.




Literature Review  Treatment of a post-traumatic three-level deformity has never specifically been addressed in the literature, although the
principles of treatment are the same as for less complex deformities.




Purposes and Clinical Relevance  These two cases present a treatment approach for complex, multiapical deformity of the tibia. The same...

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