Congenital Pseudarthrosis of Tibia- Treated Using Ilizarov Technique.

ABSTRACT

The diagnosis of congenital pseudarthrosis of the tibia (CPT) in pediatric age group is difficult (1), particularly if the patient had repeated trauma and was mismanaged.[2,3] The etiology of congenital pseudarthrosis is unknown. Mostly patient presents with neurofibromatosis.[4] Most of cases have defect on anterolateral angulation. Most effective treatment option for CPT is surgery. Surgical methods like Ilizarov technique, intramedullary fixation, and grafting [5] with combination of two or three types surgeries. However, Ilizarov ring fixation is the most effective treatment option. Every surgery should include correction of deformity, bone remodeling, limb lengthening, and complete removal of the lesion. Many patients developed deformity and degenerative arthritis of knee and ankle joints. Unfortunately, operation can’t differ according to the nature of disease history and pathology.[1] As such cases should undergo Ilizarov ring fixation. Most common complication was refracture. Therefore, an effective, safe and practical treatment method that minimizes the residual challenges after healing and accomplishes the multiple goals of treatment is needed.