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[dragonslayer]

Don't why images not shown. links:

https://imgur.com/a/Dzv9ktO

https://imgur.com/a/vhzc6Yy

[Maison]

Don't why images not shown. links:

https://imgur.com/a/Dzv9ktO

https://imgur.com/a/vhzc6Yy

The left side looks like it could be procurvatum deformity.
Please provide picture of the entire tibia.

[DanishViking]

Why did you do tibia??

[Medium Drink Of Water]

Doesn't look like it to me.  If you can envision how the bone will heal straight after some minor remodeling, then it's probably not misalignment.  Ask a doc for confirmation though.

[shortisnotfun]

That is complete misalignment. You have procurvatum/flexion deformity.

[limby101]

I don't see any issue here. There's a callus in posterior aspect as expected.
Your knees are bend for taking the image only right?
Or can't you straight the knee at all?

[shortisnotfun]

I don't see any issue here. There's a callus in posterior aspect as expected.
Your knees are bend for taking the image only right?
Or can't you straight the knee at all?

You don’t see any issue because you think nail inside bone = good and don’t have much experience. This patient has procurvatum which is very visible.

[Hobbit99]

Looks like procurvatum
I also have this, but can be fixed easily with the external frame. I think in your case you need to remove the nail with another surgery, ask your doctor.

[limby101]

I'm not so sure about your diagnosis.
Look for normal lateral x-ray of tibia and see that there's a natural curvature of the proximal tibia towards anterior aspect.
Im not so sure this image is that abnormal.

[Mondlicht]

How can this happen? Bad surgeon? Bone alignment should be good with precise2. How to prevent this?

[NailedLegs]

How can this happen? Bad surgeon? Bone alignment should be good with precise2. How to prevent this?

Could it be a combination of not using a properly sized nail and creating the osteotomy too high?

I am not a Doctor so I cannot say definitely. What do you think?

[Maison]

How can this happen? Bad surgeon? Bone alignment should be good with precise2. How to prevent this?

Inserting blocking screw behind the nail can prevent this type of deformity.
Doctors like Rozbruch have written literature on this.

[shortisnotfun]

I'm not so sure about your diagnosis.
Look for normal lateral x-ray of tibia and see that there's a natural curvature of the proximal tibia towards anterior aspect.
Im not so sure this image is that abnormal.

The top segment and the bottom segment of the tibia must align straight. If you see the x rays, they are not aligned at the endpoints.

[CLLvet]

It is the blocking screws (free screws behind the nails) that ensure correct alignment without procurvatum. In your case, you don't have a huge problem with procurvatum (it is faily mild).

I am attaching my recent tibia x-rays to illustrate the concept of the blocking screw (please see the Imgur link to my x-rays below).

To give you idea of my timeline, I lengthened my tibias 6.2 cm with TSF External frames. Upon completion of lengthening, my surgeon removed the external frames and inserted an internal fracture nail (same day).

 These x-rays were taken 5.5 months after my frame removal/ nail insertion surgery (nearly 6 months of consolidation).  I was roughly 90% consolidated by the time of these images... 

https://imgur.com/a/hjPYMHr

Best of luck to you, please let us know if you speak to any surgeons and what their advice/ guidance is

[shortisnotfun]

It is the blocking screws (free screws behind the nails) that ensure correct alignment without procurvatum. In your case, you don't have a huge problem with procurvatum (it is faily mild).

I am attaching my recent tibia x-rays to illustrate the concept of the blocking screw (please see the Imgur link to my x-rays below).

To give you idea of my timeline, I lengthened my tibias 6.2 cm with TSF External frames. Upon completion of lengthening, my surgeon removed the external frames and inserted an internal fracture nail (same day).

 These x-rays were taken 5.5 months after my frame removal/ nail insertion surgery (nearly 6 months of consolidation).  I was roughly 90% consolidated by the time of these images... 

https://imgur.com/a/hjPYMHr

Best of luck to you, please let us know if you speak to any surgeons and what their advice/ guidance is

Even “mild” procurvatum like this can cause stability issues when standing. I should know because I have procurvatum given to me by one of these doctors and it’s a major issue when standing and balancing.

[CLLvet]

Even “mild” procurvatum like this can cause stability issues when standing. I should know because I have procurvatum given to me by one of these doctors and it’s a major issue when standing and balancing.

Yes, I agree with you. And I'm sorry to hear about that. Which surgeon did you use, if you don't mind me asking? (so others can avoid him)

[DonBones]

Shouldn't that simply remodel back to its original shape?

[shortisnotfun]

Yes, I agree with you. And I'm sorry to hear about that. Which surgeon did you use, if you don't mind me asking? (so others can avoid him)

The butcher Yuksel Yurttas.