A short series of congenital pseudoarthrosis tibia

Patwa, Jagdish; Patel, Reeny

doi:10.1016/j.jor.2013.07.002

Cited by 5 publications

(3 citation statements)

References 9 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…A more recent study of 12 patients treated with a bone transport reported excellent results in eight patients, good in three and poor in one. However, no further details were given and the mean follow-up was five years [ 14 ]. Boero et al had a healing rate of 65 % in 21 patients with a mean follow-up period of two years (three bone transports, none healed) and Cho et al achieved union in 22 out of 23 patients, with a mean follow-up of 9.2 years (four bone transports) [ 15 , 16 ].…”

Section: Discussionmentioning

confidence: 99%

Ilizarov bone transport as a treatment of congenital pseudarthrosis of the tibia: A long-term follow-up study

Vanderstappen

Lammens

Berger

et al. 2015

Journal of Children's Orthopaedics

View full text Add to dashboard Cite

PurposeMost studies on congenital pseudarthrosis of the tibia (CPT) report on the short-term union rate and refracture rate but do not take into account the long-term outcome. This review includes patients treated with an Ilizarov bone transport, who all reached skeletal maturity. It describes long-term results and highlights any prognostic factors that could predict the final outcome. MethodsThe records of patients with CPT treated with an Ilizarov bone transport in our institution were retrospectively evaluated.ResultsA total of 12 consecutive patients were studied. The mean follow-up was 24.5 years (range 6–39 years). Primary consolidation was seen in ten patients (83 %). Half of these patients had a refracture. At final follow-up, eight patients experienced union and four remained un-united, of whom one had an amputation.ConclusionsThe present data confirm a good primary healing rate. However, tibial union at final follow-up was only seen in 67 %, indicating that refracture is the main issue. United bone is often of inferior biological and mechanical quality, so lifetime protection with intramedullary devices, braces or a combination of both is recommended.

show abstract

Section: Discussionmentioning

confidence: 99%

Ilizarov bone transport as a treatment of congenital pseudarthrosis of the tibia: A long-term follow-up study

Vanderstappen

Lammens

Berger

et al. 2015

Journal of Children's Orthopaedics

View full text Add to dashboard Cite

show abstract

“…Secondary surgery for knee, ankle, foot, mal-alignment and LLD increases the frustration of surgeon and agony of patient to end up with amputation of limb [9] . Involved limb is already short, removal of pathological tissue and tapering ends of bone further increases the limb-length discrepancy [10] .…”

Section: Outcome Of Congenital Pseudoarthrosis Tibia Treated With Illmentioning

confidence: 99%

Outcome of Congenital Pseudoarthrosis Tibia Treated with Illizarov Fixator in Children

Khan

Javaid

Zafar

et al. 2020

International Journal of Orthopaedics

View full text Add to dashboard Cite

“…Its clinical presentations range from extensive complete non-union of bone to simple anterolateral tibial angulation. Classifications of radiographic findings consist of hypertrophic or atrophic pseudarthrosis and dystrophic or cystic lesions [ 1 ]. CPT is a congenital, difficult, with less occurrence bone disorder in a population including neonates.…”

Section: Introductionmentioning

confidence: 99%

Congenital Pseudoarthrosis of the Tibia: A Narrative Review

Banchhor¹,

Chimurkar²

2022

Cureus

View full text Add to dashboard Cite

Congenital pseudoarthrosis of the tibia, also known as CPT, is a rare bone disease mostly occurring in the pediatric age group of 10. The case generally represents anterolateral bowing of the tibia with refractures. This condition is quite rare and has very few cases per year. CPT is still a challenging concern in orthopedics. Bone reunion often requires repeated surgical measurements. With advancements, we have new treatment plans that include induced membrane techniques and bone marrow stromal cell grafts of various induced and morphogenetic protein, which still requires confirmation. Different treatment strategies based on surgical, mechanical, and biological concepts have been shown with varying success rates. Ilizarov technique and vascularised fibular grafts have vastly increased the effectiveness in treating CPT of the tibia. Constant and recurrent refracture, residual deformities, and difficulty obtaining bone union remain the challenges in managing CPT. Hence, phasing CPT as bowing the tibia in an anterolateral fashion is more appropriate because it's a heterogeneous entity with varying prognoses.

show abstract

A short series of congenital pseudoarthrosis tibia

Cited by 5 publications

References 9 publications

Ilizarov bone transport as a treatment of congenital pseudarthrosis of the tibia: A long-term follow-up study

Ilizarov bone transport as a treatment of congenital pseudarthrosis of the tibia: A long-term follow-up study

Outcome of Congenital Pseudoarthrosis Tibia Treated with Illizarov Fixator in Children

Congenital Pseudoarthrosis of the Tibia: A Narrative Review

Contact Info

Product

Resources

About