ArticleIndian journal of orthopaedics
Short Term Results of a New Comprehensive Protocol for the Management of Congenital Pseudarthrosis of the Tibia.
Article in Indian journal of orthopaedics. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.
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Who cites it
5 citing papers in PubMed.
- Review
- Analysis of related factors of behavioral problems in children with congenital pseudarthrosis of tibia.Revista da Associacao Medica Brasileira (1992) · 2022Article
- Ilizarov bone transport combined with the Masquelet technique for bone defects of various etiologies (preliminary results).World journal of orthopedics · 2022Article
- International recognition of the Ilizarov bone reconstruction techniques: Current practice and research (dedicated to 100World journal of orthopedics · 2021Review
- Cross-Union Surgery for Congenital Pseudarthrosis of the Tibia.Children (Basel, Switzerland) · 2021Article
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Authors and funding
7 authors.
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Abstract
backgroundTreatment of Congenital Psuedarthrosis of Tibia (CPT) often poses significant challenges due to difficulty in achieving union and subsequent complications like refractures, implant failures, etc. Our new comprehensive protocol is aimed at achieving crossunion between the tibia and fibula. AIMS AND
objectivesThe aim of the present study is to evaluate the short-term results of our new protocol and to compare the results with our previously used techniques. MATERIALS AND
methods10 patients with mean age 2.35 years (1 to 6.5 years) who were treated by our new comprehensive protocol were included in Group A, and 11 patients with mean age 2 years (1 to 5.5 years) who primarily underwent intramedullary rodding with bone graft were included in Group B. The new comprehensive protocol consisted of pre-operative Zolendronate infusion, surgery consisting of intramedullary fixation of tibia supplemented with Ilizarov ring fixator and bone grafting aimed at achieving tibia-fibula cross-union. Retrospective evaluation of serial radiographs was performed and outcomes with respect to union and subsequent complications were analysed.
results10/10 (100%) patients in Group A united, whereas union was achieved in only 8/11 (72%) patients in Group B. The index surgery was successful in achieving union in all 10 patients in Group A, whereas in Group B 2.25 (1 to 4) surgeries were needed to achieve union. The time to union was significantly shorter in Group A (4.68 months) as compared to Group B (30.88 months). The cross sectional area of union was significantly greater in Group A (3.82 cm2) as compared to Group B (1.18 cm2). One patient in Group A needed a subsequent corrective osteotomy for tibial valgus, and one patient underwent tibia lengthening; whereas in Group B, two patients needed corrective osteotomes for residual malaligments.
conclusionOur study demonstrates that the new comprehensive protocol is extremely effective for achieving sound union in Congenital Pseudarthrosis of Tibia.
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