Fifteen years’ follow-up on the use of vascularized fibular graft for the treatment of congenital pseudoarthrosis of the tibia: experience in Virgen del Rocio’s Hospital and review of the literature

Fifteen years’ follow-up on the use of vascularized fibular graft for the treatment of... Treatment of congenital pseudarthrosis of the tibia remains a challenge, and many methods have been attempted with varying results. Two girls and three boys with congenital pseudarthrosis of the tibia were treated by vascularized fibular grafting (VFG). The average age at VFG was 7.8 years (range, 4–14 years) with an average follow-up term of 14.7 years (range, 8–21 years). Four of the children had undergone multiple operations before VFG, while the other one had no such history. Bone consolidation was obtained in all cases after an average term of 6.2 months (range, 4–8 months). Complication of stress fracture and ankle pain occurred in zero and two cases, respectively, only in cases undergoing multiple operations. Leg length discrepancy was more prominent in the patients with multiple previous operations (mean, 6.5 cm) than in the case with no prior surgery whose discrepancy did not have clinical signification. The long-term results of vascularized fibular grafting for congenital pseudarthrosis of the tibia were excellent, especially in the case with no prior surgery. Vascularized fibular grafting should be considered as a primary treatment option for congenital pseudarthrosis of the tibia. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png European Journal of Plastic Surgery Springer Journals

Fifteen years’ follow-up on the use of vascularized fibular graft for the treatment of congenital pseudoarthrosis of the tibia: experience in Virgen del Rocio’s Hospital and review of the literature

Loading next page...
 
/lp/springer_journal/fifteen-years-follow-up-on-the-use-of-vascularized-fibular-graft-for-IlGbvINHdm
Publisher
Springer-Verlag
Copyright
Copyright © 2011 by Springer-Verlag
Subject
Medicine & Public Health; Plastic Surgery
ISSN
0930-343X
eISSN
1435-0130
D.O.I.
10.1007/s00238-011-0569-y
Publisher site
See Article on Publisher Site

Abstract

Treatment of congenital pseudarthrosis of the tibia remains a challenge, and many methods have been attempted with varying results. Two girls and three boys with congenital pseudarthrosis of the tibia were treated by vascularized fibular grafting (VFG). The average age at VFG was 7.8 years (range, 4–14 years) with an average follow-up term of 14.7 years (range, 8–21 years). Four of the children had undergone multiple operations before VFG, while the other one had no such history. Bone consolidation was obtained in all cases after an average term of 6.2 months (range, 4–8 months). Complication of stress fracture and ankle pain occurred in zero and two cases, respectively, only in cases undergoing multiple operations. Leg length discrepancy was more prominent in the patients with multiple previous operations (mean, 6.5 cm) than in the case with no prior surgery whose discrepancy did not have clinical signification. The long-term results of vascularized fibular grafting for congenital pseudarthrosis of the tibia were excellent, especially in the case with no prior surgery. Vascularized fibular grafting should be considered as a primary treatment option for congenital pseudarthrosis of the tibia.

Journal

European Journal of Plastic SurgerySpringer Journals

Published: Aug 1, 2011

References

  • Congenital pseudarthrosis of neurofibromatosis type 1: impaired osteoblast differentiation and function and altered NF1 gene expression
    Leskelä, H-V; Kuorilehto, T; Risteli, J; Koivunen, J; Nissinen, M; Peltonen, S; Kinnunen, P; Messiaen, L; Lehenkari, P; Peltonen, J

You’re reading a free preview. Subscribe to read the entire article.


DeepDyve is your
personal research library

It’s your single place to instantly
discover and read the research
that matters to you.

Enjoy affordable access to
over 18 million articles from more than
15,000 peer-reviewed journals.

All for just $49/month

Explore the DeepDyve Library

Search

Query the DeepDyve database, plus search all of PubMed and Google Scholar seamlessly

Organize

Save any article or search result from DeepDyve, PubMed, and Google Scholar... all in one place.

Access

Get unlimited, online access to over 18 million full-text articles from more than 15,000 scientific journals.

Your journals are on DeepDyve

Read from thousands of the leading scholarly journals from SpringerNature, Elsevier, Wiley-Blackwell, Oxford University Press and more.

All the latest content is available, no embargo periods.

See the journals in your area

DeepDyve

Freelancer

DeepDyve

Pro

Price

FREE

$49/month
$360/year

Save searches from
Google Scholar,
PubMed

Create lists to
organize your research

Export lists, citations

Read DeepDyve articles

Abstract access only

Unlimited access to over
18 million full-text articles

Print

20 pages / month

PDF Discount

20% off