saeed solooki - Bone and Joint Diseases Research Center, Department of Orthopedic Surgery, School of Medicine, Shiraz University of Medical Sciences, Shiraz, Iran
Bagher Yazdanpanah - Department of Surgery, School of Medicine, Bushehr University of Medical Sciences, Bushehr, Iran
Armin Akbarzadeh - Bone and Joint Diseases Research Center, Department of Orthopedic Surgery, School of Medicine, Shiraz University of Medical Sciences, Shiraz, 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 ۱۳ years old) with distal tibial interosseous osteochondroma. They were treated by a ۱۸ ۰̊ 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

Excision, Fibula, osteochondroma, Osteotomy, Tibia