title: Treatment of congenital pseudarthrosis of the tibia: a multicenter study in Japan.
abstract: 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.
authors.affiliation: Department of Pediatric Orthopaedics, Shizuoka Children's Hospital, Shizuoka, Japan. OHNISHII-DIS@h.u-tokyo.ac.jp
authors.forename: Isao
authors.initials: I
authors.lastname: Ohnishi
authors.forename: Wakyo
authors.initials: W
authors.lastname: Sato
authors.forename: Juntarou
authors.initials: J
authors.lastname: Matsuyama
authors.forename: Hiroshi
authors.initials: H
authors.lastname: Yajima
authors.forename: Nobuhiko
authors.initials: N
authors.lastname: Haga
authors.forename: Makoto
authors.initials: M
authors.lastname: Kamegaya
authors.forename: Akio
authors.initials: A
authors.lastname: Minami
authors.forename: Masato
authors.initials: M
authors.lastname: Sato
authors.forename: Shinji
authors.initials: S
authors.lastname: Yoshino
authors.forename: Takashi
authors.initials: T
authors.lastname: Oki
authors.forename: Kozo
authors.initials: K
authors.lastname: Nakamura
mesh_terms: 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