A young man who was involved in a road traffic accident in December 2002. He suffered a fractured distal tibia and fibula. He had surgery four days following the accident to plate both tibia and fibula and was put in a BKPOP.

The POP was removed three months later.

Four months after fracture infection was found in the bone plus exiting screw. The screw was removed.

At Six to eight months the fracture started deviating and he was referred to St. George's Hospital, Tooting in January 2004.

He had surgery in May 2005 where an osteotomy was performed and he was fitted with a Taylor Spacial frame with micrometer adjustment for correction of the deviation.

In August 2005 the Taylor Spacial frame was removed and replaced with an ex-fix with 2 superior and 3 inferior bolts. He was full weight bearing from the 15th September 2005 but with the ex-fix not dynamised. Nearly six months after surgery the X-rays still showed non-union.

The patient approached the clinic early November 2005 and came for consultation and treatment on the 10th November 2005. His treatment involved pulsed magnetic field therapy at a frequency of 200 Hz pulsed at 50 Hz for 20 minutes at an intensity of 100 gauss followed by a 3 watt pulsed scanning Laser at a wave length of 850 Nm for 14 minutes. He then had one session of Hyperbaric Oxygen Therapy at a pressure of 2 ATA's for a period of one hour. Following a lunch break he returned and continued with one further treatment of Magnetic Field Therapy and one session of pulsed Laser.

He returned for further treatment eleven days later on the 21st November and stated he had had X-rays at the hospital four days earlier which appeared to show early signs of bridging callus. The ex-fix was removed and replaced with a functional brace. He was full weight bearing and off of NSAID's. He received the same treatment modalities as previously.

the patient young returned for further treatments on the 30th November and the 7th December 2005.

He returned on the 10th January 2006 whereby X-rays showed extensive callus visible all around the fracture. He is now well on the way to a full recovery.