Treatment of choice for non-united fracture of lower 1/4th tibia with multiple discharging sinuses & various puckered scar with 4 cm shortening of leg -
Patient in question has infected non-union (multiple discharging sinuses & various pukered scar) with shortening of 4 cms. Ilizanov fixation with distraction osteogenesis will be the best option.
Plating
External fixator
Ilizarov's fixator
Intramedullary nail