Successful treatment of congenital pseudarthrosis of the tibia with long segment fibular allografting in a young child.
Congenital pseudarthrosis of the tibia (CPT) in young children with large bone defect after surgical resection can be difficult to reconstruct. Structural allograft may be a useful alternative in such cases but data are limited. We report a girl 1 year and 10 months of age with CPT successfully treated with en bloc resection of there current extensive pseudarthrosis, intramedullary rod placement, and long-segment intercalary allografting with supplemental autograft of the bony defect. At 6 years of follow-up, radiographs showed equal leg lengths, with good incorporation into the host bone. This method is technically simple and less time-consuming. It may be considered as an alternative method to the other more complicated procedures, such as microvascular fibula graft or the Ilizarov technique, in such a young child.
Su
Yu-Ping
YP
Department of Orthopedics and Traumatology, Taipei Veterans General Hospital, Taipei, Taiwan.
Wang
Matthew N H
MN
Chang
Wei-Ning
WN
D005260:Female; D005360:Fibula / Q000002:abnormalities / Q000637:transplantation*; D006801:Humans; D007223:Infant; D019637:Orthopedic Procedures; D011542:Pseudarthrosis / Q000151:congenital* / Q000601:surgery*