Arthrodesis of the distal tibiofibular joint for a large osteochondroma inan adult

A case of a large osteochondroma of the distal tibia with distortion of the distal tibiofibular joint is presented. This could not be managed by tradi tional means, as excision would have resulted in ankle and tibiofibular joi nt instability. The problem was overcome by performing an arthrodesis. Only enough bone from both the tibia and the fibula was excised to provide a ho st bed for bone graft. We believe that symptomatic osteochondromata should usually be excised. However, if this would result in damage, then the metho d described offers an alternative management strategy.