Treatment of congenital pseudarthrosis of the tibia: a multicenter study in Japan.
Treatment of congenital pseudarthrosis of the tibia (CPT) remains a challenge. To clarify the current situation in treatment, a multicenter study was carried out to obtain information on the results of CPT treatment. The objective of this study was to propose appropriate treatment guidelines for CPT. Records of 73 patients with CPT who underwent surgical treatment were collected from 32 hospitals. The modality of the treatment was 26 with Ilizarov technique, 25 with free vascularized fibular graft, 7 with a combination of the two techniques, 6 with intramedullary nailing with free bone grafting, 5 plating with free bone grafting, and 4 with other treatments. Fifty-four procedures resulted in union, 7 resulted in delayed union, 7 were left un-united, 1 underwent amputation, and the results were unknown in 4. According to the results of this study, the most acceptable methods of treatment of CPT are the Ilizarov method and the vascularized fibular graft.
Ohnishi
Isao
I
Department of Pediatric Orthopaedics, Shizuoka Children's Hospital, Shizuoka, Japan. OHNISHII-DIS@h.u-tokyo.ac.jp
Sato
Wakyo
W
Matsuyama
Juntarou
J
Yajima
Hiroshi
H
Haga
Nobuhiko
N
Kamegaya
Makoto
M
Minami
Akio
A
Sato
Masato
M
Yoshino
Shinji
S
Oki
Takashi
T
Nakamura
Kozo
K
D000293:Adolescent; D002648:Child; D002675:Child, Preschool; D005260:Female; D006801:Humans; D007223:Infant; D007564:Japan; D008297:Male; D011542:Pseudarthrosis / Q000151:congenital* / Q000601:surgery*; D011795:Surveys and Questionnaires; D013977:Tibia