A case of congenital pseudoarthrosis tibia treated by four in one procedure and review of literature
Standard methods of treatment for congenital pseudoarthrosis of tibia (CPT) including internal fixation with intramedullary rodding, external fixation or ilizarov fixation, vascularized fibula transfer or combinations have varied results with high rates of recurrence. We report such a rare case of congenital pseudoarthrosis tibia which failed to unite with primary surgery of ilizarov and then was successfully treated and united with four in one procedure which involves creating a synostosis between proximal and distal ends of both tibia and fibula. The procedure is reliable and effective in preventing re-fractures.
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