Vascularized fibular grafts in the treatment of congenital pseudarthrosis of the tibia

A. J. Weiland, A. P.C. Weiss, J. R. Moore, V. T. Tolo

Research output: Contribution to journalArticlepeer-review

Abstract

Free vascularized fibular bone grafts were used in nineteen children, seen consecutively, who had congenital pseudarthrosis of the tibia. The average age was 5.1 years (range, 1.4 to 11.4 years). Sixteen of the patients had been treated with electrical stimulation for at least one year, and the tibia had not united. All but four patients had had at least one previous oprative procedure. At an average follow-up of 6.3 years (range, 2.0 to 11.0 years), eighteen (95 per cent) of the nineteen pseudarthroses had healed. The leg-length discrepancy averaged 1.6 centimeters (range, 0 to 4.0 centimeters), but ten tibiae had residual or progressive valgus or antero-posterior malalignment despite bracing. There was minimum morbidity at the donor site.

Original languageEnglish (US)
Pages (from-to)654-662
Number of pages9
JournalJournal of Bone and Joint Surgery - Series A
Volume72
Issue number5
DOIs
StatePublished - Jan 1 1990

ASJC Scopus subject areas

  • Surgery
  • Orthopedics and Sports Medicine

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