Congenital pseudarthrosis of the tibia: Treatment with free vascularized fibular grafts

John P. Dormans, J. Ivan Krajbich, R. Zuker, M. Demuynk

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Abstract

We used free vascularized fibula transfers to treat 12 patients with congenital pseudarthrosis of the tibia. The mean age at surgery was 6.5 years, and the average follow-up was 3.4 years. Only one patient had persistent nonunion at the time of last follow-up, but he had 2.2 operations after the initial vascularized procedure. Problems included delayed union at the distal anastomosis and refracture. Union can be achieved in most patients, but attention to technical detail is very important. All angulation must be corrected and, at the first sign of delayed union, the site should be regrafted and intramedullary fixation should be used.

Original languageEnglish (US)
Pages (from-to)623-628
Number of pages6
JournalJournal of Pediatric Orthopaedics
Volume10
Issue number5
DOIs
StatePublished - Jan 1 1990

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Keywords

  • Congenital pseudarthrosis of the tibia
  • Microvascular anastomosis
  • Neurofibromatosis
  • Stable internal fixation
  • Vascularized fibula transfer

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Orthopedics and Sports Medicine

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