Surgical Correction of Congenital Pseudoarthrosis of the Tibia: Use of the Williams Intramedullary Rod and Recombinant Human Bone Morphogenetic Protein-2

Matthew E. Oetgen, B. Stephens Richards

Research output: Contribution to journalArticle

1 Citation (Scopus)

Abstract

Congenital pseudoarthrosis of the tibia is a rare condition that is difficult to treat successfully. A variety of surgical techniques have been described to treat this condition, all with inconsistent results. We describe our surgical technique for this condition, consisting of complete pseudoarthrosis resection, intramedullary fixation using a Williams rod, iliac crest bone grafting, and addition of bone morphogenetic protein. This technique improves the mechanical alignment of the tibia, provides prolonged intramedullary protection of the bone, and delivers a biological stimulus for healing in this pathologic condition. We have had excellent success using this technique.

Original languageEnglish (US)
Pages (from-to)13-18
Number of pages6
JournalOperative Techniques in Orthopaedics
Volume19
Issue number1
DOIs
StatePublished - Jan 2009

Fingerprint

Tibia
Bone Morphogenetic Proteins
Pseudarthrosis
Bone Transplantation
Bone and Bones
recombinant human bone morphogenetic protein-2
Congenital pseudoarthrosis

Keywords

  • BMP-2
  • congenital tibial pseudoarthrosis
  • surgical technique
  • Williams rod

ASJC Scopus subject areas

  • Orthopedics and Sports Medicine
  • Surgery

Cite this

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AB - Congenital pseudoarthrosis of the tibia is a rare condition that is difficult to treat successfully. A variety of surgical techniques have been described to treat this condition, all with inconsistent results. We describe our surgical technique for this condition, consisting of complete pseudoarthrosis resection, intramedullary fixation using a Williams rod, iliac crest bone grafting, and addition of bone morphogenetic protein. This technique improves the mechanical alignment of the tibia, provides prolonged intramedullary protection of the bone, and delivers a biological stimulus for healing in this pathologic condition. We have had excellent success using this technique.

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