Congenital pseudarthrosis of the tibia: treatment with vascularized autogenous fibular grafts. A preliminary report

A review of the literature concerning the classification, etiology, histology and treatment of congenital pseudarthrosis of the tibia is presented. The authors describe two patients in whom resection of the lesion and reconstruction of the extermity with free vascularized fibular grafts were performed. Preliminary results after a short period of follow-up indicate that the technique may be an appropriate method for treatment of congenital pseudarthrosis of the tibia, since "the living graft" is not dependent upon the recipient bed for survival. Progressive hypertrophy of the graft without resorption is demonstrated.