title: Guided Growth: A Novel Treatment for Anterolateral Bowing of the Tibia.
abstract: BACKGROUND
  Tibial pseudoarthrosis is a source of considerable morbidity in children with neurofibromatosis. Preventing the progression of anterolateral bowing of the tibia (ALBT) to tibial pseudoarthrosis is difficult. The aim of this paper is to report the successful use of guided growth to prevent tibial pseudoarthrosis in a child with neurofibromatosis.
  
  
  METHODS
  With local ethical approval, we reviewed the case notes and radiographs of a child with pronounced ALBT who was treated with guided growth to correct the deformity and prevent fracture.
  
  
  RESULTS
  At 4-year follow-up guided growth has successfully corrected the deformity and prevented tibial pseudoarthrosis.
  
  
  CONCLUSIONS
  This is the first report of the use of guided growth to prevent the progression of ALBT to pseudoarthrosis of the tibia in a child with neurofibromatosis.
  
  
  METHODS
  Level IV.
authors.affiliation: Our Lady's Children's Hospital Crumlin, Dublin, Ireland.
authors.forename: Jim
authors.initials: J
authors.lastname: Kennedy
authors.forename: Patrick
authors.initials: P
authors.lastname: O'Toole
authors.forename: Joseph F
authors.initials: JF
authors.lastname: Baker
authors.forename: David
authors.initials: D
authors.lastname: Moore
mesh_terms: D001852:Bone Lengthening / Q000295:instrumentation*; D001860:Bone Plates; D002675:Child, Preschool; D018450:Disease Progression; D005260:Female; D056305:Genu Varum / Q000000981:diagnostic imaging / Q000601:surgery*; D006801:Humans; D009456:Neurofibromatosis 1 / Q000000981:diagnostic imaging / Q000601:surgery*; D009989:Orthotic Devices; D011542:Pseudarthrosis / Q000517:prevention & control*; D011859:Radiography; D013977:Tibia / Q000002:abnormalities* / Q000000981:diagnostic imaging