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A short series of congenital pseudoarthrosis tibia

Jagdish Patwa¹, Reeny Patel¹

¹Department of Orthopaedics, Sumandeep Vidyapeeth (Institute), Dhiraj Hospital, Waghodia, Vadodara 390761, Gujarat, India.

Journal of Orthopaedics

|January 8, 2014

Abstract

Background:

We have done retrospective study of 12 cases. Congenital pseudoarthrosis tibia is one of the most challenging subject as far as treatment is concerned. In all the treatments the basic biological considerations are the same that is pseudoarthrosis resection and bone grafting of the defect by stable fixation and correction of angular deformity without leg length discrepancy.

Methods:

Various treatment modalities are described in literature up till now out of which only few modalities got success which are intramedullary roding and graft after correction of deformity, live fibular graft after excision of pseudoarthrotic part and bone trasport by ilizarov method after removal of pseudoarthrotic part (acute or gradual transport as per the length of the defect). Our method is ilizarov and bone transport.

Conclusion:

We have treated 12 cases of pseudoarthrosis by correction of deformity, excision of pseudoarthrotic part and bone transport by ilizarov technique. We got excellent results in 8 cases, good in 3 cases and poor in 1 case. One poor result is because of uncontrolled infection as well as pin track infection and recurrence of deformity after removal of frame.

Keywords:

Bone transport Ilizarov technique Kyphotic tibia deformity-CPT

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