title: Congenital pseudarthrosis of the tibia. Treatment and outcome at skeletal maturity in 10 children.
abstract: We present the clinical characteristics of 14 children with congenital pseudarthrosis of the tibia (CPT) treated in northern Finland at Oulu University Hospital during the years 1968-1996. The incidence of CPT in northern Finland was 3.5/10(5) during years 1962-1996, which is higher than in previous reports. The estimated prevalence of pseudarthrosis was 1.8/10(5). The first 10 children with a mean follow-up time of 19 years from the first grafting procedure and 14 years from the last grafts, all had a solid bony union and could walk without external support at the last follow-up. The best treatment, especially in unfavorable types, seems to be a radical resection of the pseudarthrosis and reconstruction with a free vascularized fibular graft.
authors.affiliation: Department of Paediatric Orthopaedics, Oulu University Hospital, Finland.
authors.forename: E S
authors.initials: ES
authors.lastname: Heikkinen
authors.forename: M H
authors.initials: MH
authors.lastname: Poyhonen
authors.forename: P K
authors.initials: PK
authors.lastname: Kinnunen
authors.forename: U I
authors.initials: UI
authors.lastname: Seppänen
mesh_terms: D000365:Age Determination by Skeleton; D002648:Child; D002675:Child, Preschool; D005260:Female; D005360:Fibula / Q000637:transplantation*; D005387:Finland / Q000453:epidemiology; D005500:Follow-Up Studies; D005684:Gait; D006801:Humans; D015994:Incidence; D007223:Infant; D007231:Infant, Newborn; D008297:Male; D009456:Neurofibromatosis 1 / Q000150:complications; D010027:Osteotomy / Q000379:methods; D011159:Population Surveillance; D015995:Prevalence; D011542:Pseudarthrosis / Q000151:congenital* / Q000000981:diagnostic imaging / Q000453:epidemiology / Q000601:surgery*; D013524:Surgical Flaps; D013978:Tibial Fractures / Q000151:congenital* / Q000000981:diagnostic imaging / Q000453:epidemiology / Q000601:surgery*; D016896:Treatment Outcome