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Erschienen in: Current Reviews in Musculoskeletal Medicine 3/2019

22.06.2019 | Pediatric Orthopedics (B Heyworth, Section Editor)

Management of Congenital Pseudoarthrosis of the Tibia and Fibula

verfasst von: Katherine A. Eisenberg, Carley B. Vuillermin

Erschienen in: Current Reviews in Musculoskeletal Medicine | Ausgabe 3/2019

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Abstract

Purpose of Review

Congenital pseudoarthrosis of the tibia and fibula are rare conditions that share common treatment strategies. The purpose of this review is to provide an overview of the recent developments in treatments for both conditions.

Recent Findings

Recent literature has focused on the use of BMP and on gait analysis as a tool for measuring long-term functional outcomes. Recent study has indicated rhBMP-2 may shorten the time to initial healing of pseudoarthroses, but not guarantee bony union. Children with initial fractures before the age of four have been shown to have long-term gait outcomes that may be ultimately comparable to children with prostheses.

Summary

Both congenital pseudoarthrosis of the tibia and fibula are challenging conditions to treat, which require comprehensive approaches to account for both the biological and mechanical components of the conditions.
Literatur
1.
Zurück zum Zitat Lovell WW, Weintstein SL, Flynn JM. Lovell and Winter’s pediatric orthopaedics. 7th ed. Philadelphia: Wolters Kluwer Health/Lippincott Williams & Wilkins; 2014. Lovell WW, Weintstein SL, Flynn JM. Lovell and Winter’s pediatric orthopaedics. 7th ed. Philadelphia: Wolters Kluwer Health/Lippincott Williams & Wilkins; 2014.
2.
Zurück zum Zitat • Kesireddy N, Kheireldin RK, Lu A, Cooper J, Liu J, Ebraheim NA. Current treatment of congenital pseudarthrosis of the tibia: a systematic review and meta-analysis. J Pediatr Orthop B. 2018. https://doi.org/10.1097/bpb.0000000000000524 Meta-analysis estabishing statistical significance across studies on congenital pseudoarthrosis of the tibia. • Kesireddy N, Kheireldin RK, Lu A, Cooper J, Liu J, Ebraheim NA. Current treatment of congenital pseudarthrosis of the tibia: a systematic review and meta-analysis. J Pediatr Orthop B. 2018. https://​doi.​org/​10.​1097/​bpb.​0000000000000524​ Meta-analysis estabishing statistical significance across studies on congenital pseudoarthrosis of the tibia.
3.
Zurück zum Zitat Grill F, Bollini G, Dungl P, Fixsen J, Hefti F, Ippolito E, et al. Treatment approaches for congenital pseudarthrosis of tibia: results of the EPOS multicenter study. European Paediatric Orthopaedic Society (EPOS). J Pediatr Orthop B. 2000;9(2):75–89. Grill F, Bollini G, Dungl P, Fixsen J, Hefti F, Ippolito E, et al. Treatment approaches for congenital pseudarthrosis of tibia: results of the EPOS multicenter study. European Paediatric Orthopaedic Society (EPOS). J Pediatr Orthop B. 2000;9(2):75–89.
4.
5.
Zurück zum Zitat Lloyd-Roberts GC, Shaw NE. The prevention of pseudarthrosis in congenital kyphosis of the tibia. J Bone Joint Surg Br Vol. 1969;51(1):100–5. Lloyd-Roberts GC, Shaw NE. The prevention of pseudarthrosis in congenital kyphosis of the tibia. J Bone Joint Surg Br Vol. 1969;51(1):100–5.
6.
Zurück zum Zitat Karol LA, Haideri NF, Halliday SE, Smitherman TB, Johnston CE 2nd. Gait analysis and muscle strength in children with congenital pseudarthrosis of the tibia: the effect of treatment. J Pediatr Orthop. 1998;18(3):381–6.PubMed Karol LA, Haideri NF, Halliday SE, Smitherman TB, Johnston CE 2nd. Gait analysis and muscle strength in children with congenital pseudarthrosis of the tibia: the effect of treatment. J Pediatr Orthop. 1998;18(3):381–6.PubMed
7.
Zurück zum Zitat Masserman RL, Peterson HA, Bianco AJ Jr. Congenital Pseudoarthosis of the tibia a review of the literature and 52 cases from the Mayo Clinic. Clin Orthop Relat Res. 1974;99(140):140–5.CrossRef Masserman RL, Peterson HA, Bianco AJ Jr. Congenital Pseudoarthosis of the tibia a review of the literature and 52 cases from the Mayo Clinic. Clin Orthop Relat Res. 1974;99(140):140–5.CrossRef
8.
Zurück zum Zitat Badgley CE, O'Connor SJ, Kudner DF. Congenital kyphoscoliotic tibia. J Bone Joint Surg Am. 1952;34-a(2):349.CrossRefPubMed Badgley CE, O'Connor SJ, Kudner DF. Congenital kyphoscoliotic tibia. J Bone Joint Surg Am. 1952;34-a(2):349.CrossRefPubMed
9.
Zurück zum Zitat Boyd HB, Sage FP. Congenital pseudarthrosis of the tibia. J Bone Joint Surg Am. 1958;40-a(6):1245–70.CrossRefPubMed Boyd HB, Sage FP. Congenital pseudarthrosis of the tibia. J Bone Joint Surg Am. 1958;40-a(6):1245–70.CrossRefPubMed
10.
Zurück zum Zitat Boyd HB. Pathology and natural history of congenital pseudarthrosis of the tibia. Clin Orthop Relat Res. 1982;(166):5–13. Boyd HB. Pathology and natural history of congenital pseudarthrosis of the tibia. Clin Orthop Relat Res. 1982;(166):5–13.
11.
Zurück zum Zitat Morrissy RT, Riseborough EJ, Hall JE. Congenital pseudarthrosis of the tibia. J Bone Joint Surg Br Vol. 1981;63-b(3):367–75.CrossRef Morrissy RT, Riseborough EJ, Hall JE. Congenital pseudarthrosis of the tibia. J Bone Joint Surg Br Vol. 1981;63-b(3):367–75.CrossRef
12.
Zurück zum Zitat Strong ML, Wong-Chung J. Prophylactic bypass grafting of the prepseudarthrotic tibia in neurofibromatosis. J Pediatr Orthop. 1991;11(6):757–64.CrossRefPubMed Strong ML, Wong-Chung J. Prophylactic bypass grafting of the prepseudarthrotic tibia in neurofibromatosis. J Pediatr Orthop. 1991;11(6):757–64.CrossRefPubMed
13.
Zurück zum Zitat Morrissy RT. Congenital pseudoarthosis of the tibia, factors that affect results. Clin Orthop Relat Res. 1982;(21):21–7. Morrissy RT. Congenital pseudoarthosis of the tibia, factors that affect results. Clin Orthop Relat Res. 1982;(21):21–7.
14.
Zurück zum Zitat Paley D, Catagni M, Argnani F, Prevot J, Bell D, Armstrong P. Treatment of congenital pseudoarthrosis of the tibia using the Ilizarov technique. Clin Orthop Relat Res. 1992;(280):81–93. Paley D, Catagni M, Argnani F, Prevot J, Bell D, Armstrong P. Treatment of congenital pseudoarthrosis of the tibia using the Ilizarov technique. Clin Orthop Relat Res. 1992;(280):81–93.
15.
Zurück zum Zitat Cho TJ, Seo JB, Kim JA, Lee DY, Yoo WJ, Chung CY, et al. Fibrous hamartoma at atrophic congenital pseudoarthrosis of the tibia is not osteogenic but osteoclastic. San Diego: Orthopedic Reserach Society; 2007. Cho TJ, Seo JB, Kim JA, Lee DY, Yoo WJ, Chung CY, et al. Fibrous hamartoma at atrophic congenital pseudoarthrosis of the tibia is not osteogenic but osteoclastic. San Diego: Orthopedic Reserach Society; 2007.
20.
Zurück zum Zitat Diaz-Solano D, Wittig O, Mota JD, Cardier JE. Isolation and Characterization of multipotential mesenchymal stromal cells from congenital pseudoarthrosis of the tibia: case report. Anat Rec (Hoboken, NJ : 2007). 2015;298(10):1804–14. https://doi.org/10.1002/ar.23198.CrossRef Diaz-Solano D, Wittig O, Mota JD, Cardier JE. Isolation and Characterization of multipotential mesenchymal stromal cells from congenital pseudoarthrosis of the tibia: case report. Anat Rec (Hoboken, NJ : 2007). 2015;298(10):1804–14. https://​doi.​org/​10.​1002/​ar.​23198.CrossRef
22.
Zurück zum Zitat Boero S, Catagni M, Donzelli O, Facchini R, Frediani PV. Congenital pseudarthrosis of the tibia associated with neurofibromatosis-1: treatment with Ilizarov’s device. J Pediatr Orthop. 1997;17(5):675–84.CrossRefPubMed Boero S, Catagni M, Donzelli O, Facchini R, Frediani PV. Congenital pseudarthrosis of the tibia associated with neurofibromatosis-1: treatment with Ilizarov’s device. J Pediatr Orthop. 1997;17(5):675–84.CrossRefPubMed
24.
Zurück zum Zitat Tudisco C, Bollini G, Dungl P, Fixen J, Grill F, Hefti F, et al. Functional results at the end of skeletal growth in 30 patients affected by congenital pseudoarthrosis of the tibia. J Pediatr Orthop B. 2000;9(2):94–102. Tudisco C, Bollini G, Dungl P, Fixen J, Grill F, Hefti F, et al. Functional results at the end of skeletal growth in 30 patients affected by congenital pseudoarthrosis of the tibia. J Pediatr Orthop B. 2000;9(2):94–102.
25.
Zurück zum Zitat Keret D, Bollini G, Dungl P, Fixsen J, Grill F, Hefti F, et al. The fibula in congenital pseudoarthrosis of the tibia: the EPOS multicenter study. European Paediatric Orthopaedic Society (EPOS). J Pediatr Orthop B. 2000;9(2):69–74. Keret D, Bollini G, Dungl P, Fixsen J, Grill F, Hefti F, et al. The fibula in congenital pseudoarthrosis of the tibia: the EPOS multicenter study. European Paediatric Orthopaedic Society (EPOS). J Pediatr Orthop B. 2000;9(2):69–74.
26.
Zurück zum Zitat Andersen KS. Congenital pseudarthrosis of the leg. Late results. J Bone Joint Surg Am. 1976;58(5):657–62.CrossRefPubMed Andersen KS. Congenital pseudarthrosis of the leg. Late results. J Bone Joint Surg Am. 1976;58(5):657–62.CrossRefPubMed
27.
Zurück zum Zitat Bassett CA, Caulo N, Kort J. Congenital “pseudarthroses” of the tibia: treatment with pulsing electromagnetic fields. Clin Orthop Relat Res. 1981;(154):136–48. Bassett CA, Caulo N, Kort J. Congenital “pseudarthroses” of the tibia: treatment with pulsing electromagnetic fields. Clin Orthop Relat Res. 1981;(154):136–48.
28.
Zurück zum Zitat McFarland B. Pseudarthrosis of the tibia in childhood. J Bone Joint Surg Br Vol. 1951;33-b(1):36–46.CrossRef McFarland B. Pseudarthrosis of the tibia in childhood. J Bone Joint Surg Br Vol. 1951;33-b(1):36–46.CrossRef
29.
Zurück zum Zitat Dobbs MB, Rich MM, Gordon JE, Szymanski DA, Schoenecker PL. Use of an intramedullary rod for treatment of congenital pseudarthrosis of the tibia. A long-term follow-up study. J Bone Joint Surg Am. 2004;86-a(6):1186–97.CrossRef Dobbs MB, Rich MM, Gordon JE, Szymanski DA, Schoenecker PL. Use of an intramedullary rod for treatment of congenital pseudarthrosis of the tibia. A long-term follow-up study. J Bone Joint Surg Am. 2004;86-a(6):1186–97.CrossRef
30.
Zurück zum Zitat • Johnston CE 2nd. Congenital pseudarthrosis of the tibia: results of technical variations in the charnley-williams procedure. J Bone Joint Surg Am. 2002;84-a(10):1799–810 Examining the potenial benefits of rhBMP-2, this study contributes to the literature by evaluating the complication rates of patients treated with rhBMP-2 and patients' time to radiographic union. CrossRef • Johnston CE 2nd. Congenital pseudarthrosis of the tibia: results of technical variations in the charnley-williams procedure. J Bone Joint Surg Am. 2002;84-a(10):1799–810 Examining the potenial benefits of rhBMP-2, this study contributes to the literature by evaluating the complication rates of patients treated with rhBMP-2 and patients' time to radiographic union. CrossRef
34.
Zurück zum Zitat Anderson DJ, Schoenecker PL, Sheridan JJ, Rich MM. Use of an intramedullary rod for the treatment of congenital pseudoarthrosis of the tibia. J Bone Joint Surg. 1992;74(161):161–8.CrossRefPubMed Anderson DJ, Schoenecker PL, Sheridan JJ, Rich MM. Use of an intramedullary rod for the treatment of congenital pseudoarthrosis of the tibia. J Bone Joint Surg. 1992;74(161):161–8.CrossRefPubMed
35.
Zurück zum Zitat McFarland B. Birth fracture of the tibia. Br J Surg. 1939;27:706–12.CrossRef McFarland B. Birth fracture of the tibia. Br J Surg. 1939;27:706–12.CrossRef
36.
Zurück zum Zitat Charnley J. Congenital pseudarthrosis of the tibia treated by intramedullary nail. J Bone Joint Surg Am. 1956;38-a(2):283–90.CrossRefPubMed Charnley J. Congenital pseudarthrosis of the tibia treated by intramedullary nail. J Bone Joint Surg Am. 1956;38-a(2):283–90.CrossRefPubMed
37.
Zurück zum Zitat Umber JS, Moss SW, Coleman SS. Surgical treatment of congenital pseudoarthrosis of the tibia. Clin Orthop Relat Res. 1982;28(166):28–33. Umber JS, Moss SW, Coleman SS. Surgical treatment of congenital pseudoarthrosis of the tibia. Clin Orthop Relat Res. 1982;28(166):28–33.
38.
39.
Zurück zum Zitat Stevenson DA, Little D, Armstrong L, Crawford AH, Eastwood D, Friedman JM, et al. Approaches to treating NF1 tibial pseudarthrosis: consensus from the Children’s Tumor Foundation NF1 bone abnormalities consortium. J Pediatr Orthop. 2013;33(3):269–75. https://doi.org/10.1097/BPO.0b013e31828121b8. Stevenson DA, Little D, Armstrong L, Crawford AH, Eastwood D, Friedman JM, et al. Approaches to treating NF1 tibial pseudarthrosis: consensus from the Children’s Tumor Foundation NF1 bone abnormalities consortium. J Pediatr Orthop. 2013;33(3):269–75. https://​doi.​org/​10.​1097/​BPO.​0b013e31828121b8​.
43.
Zurück zum Zitat • Zhu GH, Mei HB, He RG, Liu YX, Liu K, Tang J, et al. Combination of intramedullary rod, wrapping bone grafting and Ilizarov’s fixator for the treatment of Crawford type IV congenital pseudarthrosis of the tibia: mid-term follow up of 56 cases. BMC Musculoskelet Disord. 2016;17(1):443. https://doi.org/10.1186/s12891-016-1295-1 By contributing a large number of CPT cases to the published literature, this study significantly enhances our understanding of outcomes following Ilizarov treatment and bone grafting. • Zhu GH, Mei HB, He RG, Liu YX, Liu K, Tang J, et al. Combination of intramedullary rod, wrapping bone grafting and Ilizarov’s fixator for the treatment of Crawford type IV congenital pseudarthrosis of the tibia: mid-term follow up of 56 cases. BMC Musculoskelet Disord. 2016;17(1):443. https://​doi.​org/​10.​1186/​s12891-016-1295-1 By contributing a large number of CPT cases to the published literature, this study significantly enhances our understanding of outcomes following Ilizarov treatment and bone grafting.
44.
Zurück zum Zitat Taylor GI, Miller GD, Ham FJ. The free vascularized bone graft. A clinical extension of microvascular techniques. Plast Reconstr Surg. 1975;55(5):533–44.CrossRefPubMed Taylor GI, Miller GD, Ham FJ. The free vascularized bone graft. A clinical extension of microvascular techniques. Plast Reconstr Surg. 1975;55(5):533–44.CrossRefPubMed
45.
Zurück zum Zitat Hagan KF, Buncke HJ. Treatment of congenital pseudarthrosis of the tibia with free vascularized bone graft. Clin Orthop Relat Res. 1982;(166):34–44. Hagan KF, Buncke HJ. Treatment of congenital pseudarthrosis of the tibia with free vascularized bone graft. Clin Orthop Relat Res. 1982;(166):34–44.
46.
Zurück zum Zitat Weiland AJ, Weiss AP, Moore JR, Tolo VT. Vascularized fibular grafts in the treatment of congenital pseudarthrosis of the tibia. J Bone Joint Surg Am. 1990;72(5):654–62.CrossRefPubMed Weiland AJ, Weiss AP, Moore JR, Tolo VT. Vascularized fibular grafts in the treatment of congenital pseudarthrosis of the tibia. J Bone Joint Surg Am. 1990;72(5):654–62.CrossRefPubMed
47.
Zurück zum Zitat Dormans JP, Krajbich JI, Zuker R, Demuynk M. Congenital pseudarthrosis of the tibia: treatment with free vascularized fibular grafts. J Pediatr Orthop. 1990;10(5):623–8.CrossRefPubMed Dormans JP, Krajbich JI, Zuker R, Demuynk M. Congenital pseudarthrosis of the tibia: treatment with free vascularized fibular grafts. J Pediatr Orthop. 1990;10(5):623–8.CrossRefPubMed
49.
Zurück zum Zitat Pho RWH, Levack B, Satku K, Patradul A. Free vascularized fibular graft in the treatment of congenital pseudoarthrosis of the tibia. J Bone Joint Surg Br. 1985;67(1):64–70. Pho RWH, Levack B, Satku K, Patradul A. Free vascularized fibular graft in the treatment of congenital pseudoarthrosis of the tibia. J Bone Joint Surg Br. 1985;67(1):64–70.
50.
Zurück zum Zitat Vander Have KL, Hensinger RN, Caird M, Johnston C, Farley FA. Congenital pseudarthrosis of the tibia. J Am Acad Orthop Surg. 2008;16(4):228–36.CrossRefPubMed Vander Have KL, Hensinger RN, Caird M, Johnston C, Farley FA. Congenital pseudarthrosis of the tibia. J Am Acad Orthop Surg. 2008;16(4):228–36.CrossRefPubMed
51.
Zurück zum Zitat McCarthy RE. Amputation for congenital pseudarthrosis of the tibia. Indications and techniques. Clin Orthop Relat Res. 1982;(166):58–61. McCarthy RE. Amputation for congenital pseudarthrosis of the tibia. Indications and techniques. Clin Orthop Relat Res. 1982;(166):58–61.
52.
Zurück zum Zitat Jacobsen ST, Crawford AH, Millar EA, Steel HH. The Syme amputation in patients with congenital pseudarthrosis of the tibia. J Bone Joint Surg Am. 1983;65(4):533–7.CrossRefPubMed Jacobsen ST, Crawford AH, Millar EA, Steel HH. The Syme amputation in patients with congenital pseudarthrosis of the tibia. J Bone Joint Surg Am. 1983;65(4):533–7.CrossRefPubMed
55.
Zurück zum Zitat • Westberry DE, Carpenter AM, Tisch J, Wack LI. Amputation outcomes in congenital pseudarthrosis of the tibia. J Pediatr Orthop. 2018;38(8):e475–e81. https://doi.org/10.1097/bpo.0000000000001211 Focusing on the long-term outcomes of CPT patients who have undergone amputation, this retrospective study adds to the literature by describing pseudoarthrotic union rates post-amputation. CrossRefPubMed • Westberry DE, Carpenter AM, Tisch J, Wack LI. Amputation outcomes in congenital pseudarthrosis of the tibia. J Pediatr Orthop. 2018;38(8):e475–e81. https://​doi.​org/​10.​1097/​bpo.​0000000000001211​ Focusing on the long-term outcomes of CPT patients who have undergone amputation, this retrospective study adds to the literature by describing pseudoarthrotic union rates post-amputation. CrossRefPubMed
56.
Zurück zum Zitat Edvardsen P. Resection osteosynthesis and Boyd amputation for congenital pseudarthrosis of the tibia. J Bone Joint Surg Br Vol. 1973;55(1):179–82.CrossRef Edvardsen P. Resection osteosynthesis and Boyd amputation for congenital pseudarthrosis of the tibia. J Bone Joint Surg Br Vol. 1973;55(1):179–82.CrossRef
57.
Zurück zum Zitat Eilert RE, Jayakumar SS. Boyd and Syme ankle amputations in children. J Bone Joint Surg Am. 1976;58(8):1138–41.CrossRefPubMed Eilert RE, Jayakumar SS. Boyd and Syme ankle amputations in children. J Bone Joint Surg Am. 1976;58(8):1138–41.CrossRefPubMed
59.
Zurück zum Zitat DiGiovanni CW, Ehrlich MG. Treatment of congenital pseudarthrosis of the fibula with interposition allograft. Orthopedics. 1998;21(11):1225–8.PubMed DiGiovanni CW, Ehrlich MG. Treatment of congenital pseudarthrosis of the fibula with interposition allograft. Orthopedics. 1998;21(11):1225–8.PubMed
60.
Zurück zum Zitat Tachdjian MO. Tachdjian’s pediatric orthopaedics : from the Texas Scottish rite hospital for children. 5th ed. Philadelphia: Elsevier Saunders; 2014. Tachdjian MO. Tachdjian’s pediatric orthopaedics : from the Texas Scottish rite hospital for children. 5th ed. Philadelphia: Elsevier Saunders; 2014.
61.
Zurück zum Zitat Tachdjian MO. Pediatric orthopedics. Philadelphia: Saunders; 1990. Tachdjian MO. Pediatric orthopedics. Philadelphia: Saunders; 1990.
63.
Zurück zum Zitat Dal Monte A, Donzelli O, Sudanese A, Baldini N. Congenital pseudarthrosis of the fibula. J Pediatr Orthop. 1987;7(1):14–8.CrossRefPubMed Dal Monte A, Donzelli O, Sudanese A, Baldini N. Congenital pseudarthrosis of the fibula. J Pediatr Orthop. 1987;7(1):14–8.CrossRefPubMed
64.
Zurück zum Zitat Goh JC, Mech AM, Lee EH, Ang EJ, Bayon P, Pho RW. Biomechanical study on the load-bearing characteristics of the fibula and the effects of fibular resection. Clin Orthop Relat Res. 1992;(279):223–8. Goh JC, Mech AM, Lee EH, Ang EJ, Bayon P, Pho RW. Biomechanical study on the load-bearing characteristics of the fibula and the effects of fibular resection. Clin Orthop Relat Res. 1992;(279):223–8.
65.
Zurück zum Zitat Lambert KL. The weight-bearing function of the fibula. A strain gauge study. J Bone Joint Surg Am. 1971;53(3):507–13.CrossRefPubMed Lambert KL. The weight-bearing function of the fibula. A strain gauge study. J Bone Joint Surg Am. 1971;53(3):507–13.CrossRefPubMed
66.
Zurück zum Zitat Dooley BJ, Menelaus MB, Paterson DC. Congenital pseudarthrosis and bowing of the fibula. J Bone Joint Surg Br Vol. 1974;56-b(4):739–43.CrossRef Dooley BJ, Menelaus MB, Paterson DC. Congenital pseudarthrosis and bowing of the fibula. J Bone Joint Surg Br Vol. 1974;56-b(4):739–43.CrossRef
68.
Zurück zum Zitat Langenskiold A. Pseudarthrosis of the fibula and progressive valgus defformity of the ankle in children: treatment by fusion of the distal tibial and fibular metaphyses. Review of three cases. J Bone Joint Surg Am. 1967;49(3):463–70.CrossRefPubMed Langenskiold A. Pseudarthrosis of the fibula and progressive valgus defformity of the ankle in children: treatment by fusion of the distal tibial and fibular metaphyses. Review of three cases. J Bone Joint Surg Am. 1967;49(3):463–70.CrossRefPubMed
69.
Zurück zum Zitat Merkel KD, Peterson HA. Isolated congenital pseudarthrosis of the fibula: report of a case and review of the literature. J Pediatr Orthop. 1984;4(1):100–4.CrossRefPubMed Merkel KD, Peterson HA. Isolated congenital pseudarthrosis of the fibula: report of a case and review of the literature. J Pediatr Orthop. 1984;4(1):100–4.CrossRefPubMed
70.
Zurück zum Zitat Makin M. Tibio-fibular relationship in paralysed limbs. J Bone Joint Surg Br Vol. 1965;47:500–6.CrossRef Makin M. Tibio-fibular relationship in paralysed limbs. J Bone Joint Surg Br Vol. 1965;47:500–6.CrossRef
71.
Zurück zum Zitat Paluska DJ, Blount WP. Ankle valgus after the Grice subtalar stabilization: the late evaluation of a personal series with a modified technic. Clin Orthop Relat Res. 1968;59:137–46.CrossRefPubMed Paluska DJ, Blount WP. Ankle valgus after the Grice subtalar stabilization: the late evaluation of a personal series with a modified technic. Clin Orthop Relat Res. 1968;59:137–46.CrossRefPubMed
72.
Zurück zum Zitat Hsu LC, O'Brien JP, Yau AC, Hodgson AR. Valgus deformity of the ankle in children with fibular pseudarthrosis. Results of treatment by bone-grafting of the fibula. J Bone Joint Surg Am. 1974;56(3):503–10.CrossRefPubMed Hsu LC, O'Brien JP, Yau AC, Hodgson AR. Valgus deformity of the ankle in children with fibular pseudarthrosis. Results of treatment by bone-grafting of the fibula. J Bone Joint Surg Am. 1974;56(3):503–10.CrossRefPubMed
73.
Zurück zum Zitat Wiltse LL. Valgus deformity of the ankle: a sequel to acquired or congenital abnormalities of the fibula. J Bone Joint Surg Am. 1972;54(3):595–606.CrossRefPubMed Wiltse LL. Valgus deformity of the ankle: a sequel to acquired or congenital abnormalities of the fibula. J Bone Joint Surg Am. 1972;54(3):595–606.CrossRefPubMed
74.
Zurück zum Zitat Yang KY, Lee EH. Isolated congenital pseudoarthrosis of the fibula. J Pediatr Orthop B. 2002;11(4):298–301.PubMed Yang KY, Lee EH. Isolated congenital pseudoarthrosis of the fibula. J Pediatr Orthop B. 2002;11(4):298–301.PubMed
75.
Zurück zum Zitat Narasimhan RR, Banta JV. Congenital pseudarthrosis of the fibula. Orthopedics. 2001;24(5):499–500.PubMed Narasimhan RR, Banta JV. Congenital pseudarthrosis of the fibula. Orthopedics. 2001;24(5):499–500.PubMed
76.
Zurück zum Zitat Rathjen KE, Birch JG. Rockwood and Wilkins’ fractures in children. In: Beaty JH, editor. Rockwood and Wilkins' fractures in children. 7th ed. Philadelphia: Wolters Kluwer/Lippincott, Williams & Wilkins; 2010. p. 92–119. Rathjen KE, Birch JG. Rockwood and Wilkins’ fractures in children. In: Beaty JH, editor. Rockwood and Wilkins' fractures in children. 7th ed. Philadelphia: Wolters Kluwer/Lippincott, Williams & Wilkins; 2010. p. 92–119.
77.
Zurück zum Zitat Ng BK, Saleh M. Fibula pseudarthrosis revisited treatment with Ilizarov apparatus: case report and review of the literature. J Pediatr Orthop B. 2001;10(3):234–7.CrossRefPubMed Ng BK, Saleh M. Fibula pseudarthrosis revisited treatment with Ilizarov apparatus: case report and review of the literature. J Pediatr Orthop B. 2001;10(3):234–7.CrossRefPubMed
Metadaten
Titel
Management of Congenital Pseudoarthrosis of the Tibia and Fibula
verfasst von
Katherine A. Eisenberg
Carley B. Vuillermin
Publikationsdatum
22.06.2019
Verlag
Springer US
Erschienen in
Current Reviews in Musculoskeletal Medicine / Ausgabe 3/2019
Elektronische ISSN: 1935-9748
DOI
https://doi.org/10.1007/s12178-019-09566-2

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