Vol. 7, Issue 1, Part A (2025)

Malunion is a frequent and significant complication in fractures, particularly in tibia and fibula injuries, where improper healing leads to anatomical misalignment and functional impairment. This condition often necessitates surgical intervention to restore bone function and structure. We present the case of a 32-year-old male who sustained a right lower leg fracture from a motorcycle accident and initially sought treatment with a splint cast. However, after a five-month hiatus from follow-up care and resorting to traditional healing methods, the patient returned with persistent pain. Radiographic evaluation revealed a tibial malunion. Subsequently, the patient underwent open reduction and internal fixation (ORIF) with synthetic bone grafting to realign the fracture and restore its integrity. Diagnosis of tibial malunion was confirmed through a thorough clinical assessment, including detailed anamnesis, physical examination, and radiographic imaging. This case highlights the critical importance of timely clinical intervention and the role of ORIF with synthetic bone grafting in managing malunion, emphasizing the need for early, evidence-based treatment strategies to optimize recovery and restore functional outcomes in patients with tibia and fibula fractures.