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Congenital pseudarthrosis of the tibia--treatment with free vascularised fibular grafts
C S Smit1, B J Zeeman, W J Wade
1Department of Plastic and Reconstructive Surgery, University of Stellenbosch, CP.
Abstract:
Congenital pseudarthrosis is uncommon. We report on a series of 4 patients treated by means of free vascularised fibular grafts. Complications encountered were graft fracture, delayed union and angulation deformities. Modifications in the surgical technique improved later results. We recommend wide excision of pathological bone, bridging of the defect by free vascularised fibular grafts and rigid fixation.