Congenital pseudarthrosis of the tibia: treatment with free vascularized fibular graft.
Five children with congenital pseudarthrosis of the tibia were treated by resection of the lesion and reconstruction of the extremity with a free vascularized fibular graft (FVFG). Two of five cases had had multiple surgical procedures before FVFG. These two cases were complicated with the non-union of the proximal grafthost junction. Of these, one case achieved bone union after further resection of the non-union and adding allogenic bone graft and another case denied further operation and was lost to follow-up 6 months postoperatively. Three cases, two of which underwent FVFG as a primary treatment and another one after failure from the Sofield procedure respectively, were initially treated successfully and solid union of the grafthost junctions was within four months postoperatively. Problems including: anterior bowing, refracture, valgus deformity of the ankle and leg length discrepancy occurred in all four followed cases.
Mahaisavariya
B
B
Department of Orthopaedics, Faculty of Medicine, Siriraj Hospital, Mahidol University, Bangkok, Thailand.
Mahakkanukrah
C
C
Rojviroj
S
S
Jiraratanaphochai
K
K
D000293:Adolescent; D002648:Child; D002675:Child, Preschool; D005260:Female; D005360:Fibula / Q000098:blood supply / Q000637:transplantation*; D006801:Humans; D008297:Male; D011542:Pseudarthrosis / Q000151:congenital* / Q000601:surgery; D013977:Tibia / Q000002:abnormalities* / Q000601:surgery