Congenital pseudarthrosis of the tibia: successful one stage transposition of the fibula into the distal tibia. A case report.
An infant male presented at age 17 months with an established pseudarthrosis in a kyphoscoliotic right tibia. During the ensuing 6 years, three unsuccessful McFarland bypass bone grafts were performed. Then the distal end of the proximal fibula was placed into the medullary cavity of the proximal end of the distal tibia without disturbing the proximal portion of the fibula. This was augmented by autogenous bone graft. Union occurred in one year. The child has been followed for 7 years and the pseudarthrosis remains healed.
D001847:Bone Diseases / Q000151:congenital* / Q000000981:diagnostic imaging / Q000601:surgery; D002675:Child, Preschool; D005360:Fibula / Q000637:transplantation*; D006801:Humans; D007085:Ilium / Q000637:transplantation; D007223:Infant; D008297:Male; D011542:Pseudarthrosis / Q000151:congenital* / Q000601:surgery; D011859:Radiography; D013977:Tibia / Q000000981:diagnostic imaging / Q000601:surgery; D014182:Transplantation, Autologous