Residual nonunion following vascularised fibular graft treatment for congenital pseudarthrosis of the tibia: a report of two cases.

Sulaiman, A R; Nordin, S; Faisham, W I; Zulmi, W; Halim, A S · J Orthop Surg (Hong Kong) · 2006

case_report · Level V

Where this comes from

Abstract

Resection and reconstruction using a vascularised fibular graft is a viable alternative treatment for congenital pseudarthrosis of the tibia, although distal junctional nonunion and residual deformity are known complications that are difficult to treat. We illustrate 2 cases in which bony union was achieved following a technique using fibular grafting and intramedullary nailing, without additional bone grafting. This technique was feasible because of hypertrophy of the fibular graft.

Medical subject headings

Anatomy