title: Residual nonunion following vascularised fibular graft treatment for congenital pseudarthrosis of the tibia: a report of two cases.
abstract: Resection and reconstruction using a vascularised fibular graft is a viable alternative treatment for congenital pseudarthrosis of the tibia, although distal junctional nonunion and residual deformity are known complications that are difficult to treat. We illustrate 2 cases in which bony union was achieved following a technique using fibular grafting and intramedullary nailing, without additional bone grafting. This technique was feasible because of hypertrophy of the fibular graft.
authors.affiliation: Department of Orthopaedics, School of Medical Sciences, Universiti Sains Malaysia, Kelantan, Malaysia. abdrazak@kb.usm.my
authors.forename: A R
authors.initials: AR
authors.lastname: Sulaiman
authors.forename: S
authors.initials: S
authors.lastname: Nordin
authors.forename: W I
authors.initials: WI
authors.lastname: Faisham
authors.forename: W
authors.initials: W
authors.lastname: Zulmi
authors.forename: A S
authors.initials: AS
authors.lastname: Halim
mesh_terms: D016025:Bone Transplantation; D002675:Child, Preschool; D005360:Fibula; D006801:Humans; D008297:Male; D011542:Pseudarthrosis / Q000151:congenital* / Q000000981:diagnostic imaging / Q000601:surgery*; D011859:Radiography; D019651:Plastic Surgery Procedures / Q000379:methods; D013977:Tibia / Q000002:abnormalities / Q000000981:diagnostic imaging / Q000601:surgery*