Journal of the Formosan Medical Association
Volume 106, Issue 3, Supplement , Pages S44-S49, 2007

Successful Treatment of Congenital Pseudarthrosis of the Tibia with Long Segment Fibular Allografting in a Young Child

  • Yu-Ping Su

      Affiliations

    • Department of Orthopedics and Traumatology, Taipei Veterans General Hospital, Taiwan
    • Department of Surgery, National Yang-Ming University School of Medicine, Taipei, Taiwan
    • ,
  • Matthew N.H. Wang

      Affiliations

    • Department of Orthopedic Surgery, Kuang-Tien General Hospital and Hung Kuang University, Taichung, Taiwan
    • Corresponding Author InformationCorrespondence to: Dr Matthew N.H. Wang, Department of Orthopedic Surgery, Kuang-Tien General Hospital, 321 Chin-Kuo Road, Tachia, Taichung 437, Taiwan
    • ,
  • Wei-Ning Chang

      Affiliations

    • Department of Surgery, National Yang-Ming University School of Medicine, Taipei, Taiwan
    • Department of Orthopedics and Traumatology, Kaohsiung Veterans General Hospital, Kaohsiung, Taiwan

Received 18 October 2005; received in revised form 25 November 2005; accepted 10 January 2006.

Article Outline

Congenital pseudarthrosis of the tibia (CPT) in young children with large bone defect after surgical resection can be difficult to reconstruct. Structural allograft may be a useful alternative in such cases but data are limited. We report a girl 1 year and 10 months of age with CPT successfully treated with en bloc resection of the recurrent extensive pseudarthrosis, intramedullary rod placement, and long-segment intercalary allografting with supplemental autograft of the bony defect. At 6 years of follow-up, radiographs showed equal leg lengths, with good incorporation into the host bone. This method is technically simple and less time-consuming. It may be considered as an alternative method to the other more complicated procedures, such as microvascular fibula graft or the Ilizarov technique, in such a young child. [J Formos Med Assoc 2007;106(3 Suppl):S44-S49]

Key Words:  allograft , children , congenital pseudarthrosis , tibia

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PII: S0929-6646(09)60366-1

doi:10.1016/S0929-6646(09)60366-1

Journal of the Formosan Medical Association
Volume 106, Issue 3, Supplement , Pages S44-S49, 2007

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