Free vascularized fibular graft for tibial pseudarthrosis in neurofibromatosis.
Four patients with neurofibromatosis and a dysplastic type of congenital pseudarthrosis of the tibia were treated by resection of the lesion and reconstruction of the extremity with a free vascularized fibular graft. Solid union of the graft was achieved within 3 months in 3 children. However, valgus malalignment of the tibia progressed in all 3. One child was treated with resection of a lateral fibrotic band and another with distal tibial epiphysial distraction and realignment. In the fourth patient, who was skeletally mature, a nonunion developed proximally.
D000293:Adolescent; D002648:Child; D005260:Female; D005360:Fibula / Q000637:transplantation*; D006801:Humans; D008297:Male; D009456:Neurofibromatosis 1 / Q000150:complications*; D011542:Pseudarthrosis / Q000151:congenital* / Q000601:surgery; D013978:Tibial Fractures / Q000151:congenital* / Q000601:surgery