title: Transplantar intramedullary locking nailing in childhood congenital pseudarthrosis of the tibia: A report of 3 cases.
abstract: The treatment objectives in congenital pseudarthrosis of the tibia are bone consolidation and a restored lower-limb axis. They are difficult to achieve, and various surgical techniques have been described, with varying results in terms of bone consolidation and complications. The present study reports clinical and radiographic results in 3 patients managed by the same original technique of transplantar intramedullary nailing using a custom-made proximal locking nail, without surgical approach or resection of the pseudarthrosis site. Good assembly stability allowed immediate weight-bearing. The technique is relatively noninvasive, offering a first-line alternative in under-3 year-olds.
authors.affiliation: Chirurgie Orthopédique et pédiatrique, CHU de la Timone, 264, rue Saint-Pierre, 13385 Marseille, France; CHU de Nantes, Orthopédie Pédiatrique, 7, quai Moncousu, 44093 Nantes, France. Electronic address: antoine.chalopin@chu-nantes.fr.
authors.forename: A
authors.initials: A
authors.lastname: Chalopin
authors.affiliation: Chirurgie Orthopédique et pédiatrique, CHU de la Timone, 264, rue Saint-Pierre, 13385 Marseille, France.
authors.forename: S
authors.initials: S
authors.lastname: Pesenti
authors.affiliation: Chirurgie Orthopédique et pédiatrique, CHU de la Timone, 264, rue Saint-Pierre, 13385 Marseille, France.
authors.forename: E
authors.initials: E
authors.lastname: Peltier
authors.affiliation: Chirurgie Orthopédique et pédiatrique, CHU de la Timone, 264, rue Saint-Pierre, 13385 Marseille, France.
authors.forename: K
authors.initials: K
authors.lastname: Bin
authors.affiliation: Chirurgie Orthopédique et pédiatrique, CHU de la Timone, 264, rue Saint-Pierre, 13385 Marseille, France.
authors.forename: F
authors.initials: F
authors.lastname: Launay
authors.affiliation: Chirurgie Orthopédique et pédiatrique, CHU de la Timone, 264, rue Saint-Pierre, 13385 Marseille, France.
authors.forename: J-L
authors.initials: JL
authors.lastname: Jouve
mesh_terms: D001858:Bone Nails; D002675:Child, Preschool; D004867:Equipment Design; D005260:Female; D005594:Fracture Fixation, Intramedullary / Q000295:instrumentation*; D006801:Humans; D007223:Infant; D008297:Male; D011542:Pseudarthrosis / Q000151:congenital* / Q000601:surgery; D013977:Tibia / Q000002:abnormalities* / Q000601:surgery*; D016474:Weight-Bearing
keywords: Congenital pseudarthrosis of the tibia; Intramedullary nailing