Congenital pseudarthrosis of the Tibia

Kelly L. Vander Have, Robert N. Hensinger, Michelle Caird, Charles Johnston, Frances A. Farley

Research output: Contribution to journalArticlepeer-review

31 Scopus citations

Abstract

Congenital pseudarthrosis of the tibia is characterized by anterolateral deformity of the tibia and shortening of the limb. Its etiology remains unclear. Although several classification systems have been proposed, none provides specific guidelines for management. Treatment remains challenging. The goal is to obtain and maintain union while minimizing deformity. The basic biologic considerations with surgical intervention include resection of the pseudarthrosis and bridging of the defect with stable fixation. Intramedullary stabilization, free vascularized fibula, and Ilizarov external fixation are among the most frequently used methods of treatment. In addition, bone morphogenetic protein recently has shown promise. Nevertheless, despite improvements in healing rates with congenital pseudarthrosis of the tibia, the potential for amputation in failed cases persists.

Original languageEnglish (US)
Pages (from-to)228-236
Number of pages9
JournalJournal of the American Academy of Orthopaedic Surgeons
Volume16
Issue number4
DOIs
StatePublished - Apr 2008

ASJC Scopus subject areas

  • Surgery
  • Orthopedics and Sports Medicine

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