[Ipsilateral inverse fibula transposition for treatment of congenital tibial pseudarthrosis]

Congenital pseudarthrosis of the tibia is one of the most challenging problems in reconstructive surgery. A wide variety of surgical methods has been utilised to treat this condition: One is the free transposition of the vascularised fibular segment to bridge the gap of pseudarthrosis. The authors report their experience in using a vascularised pedicled fibular segment of the ipsilateral fibula with reverse peroneal flow. Three patients were treated successfully. Progressive hypertrophy of the grafts without resorption was demonstrated. Within one year, all children were able to walk without an orthesis.