Cureus, Congenital Pseudoarthrosis of Tibia With Anterolateral Bowing Treated With Ilizarov Ring Fixator: A Case Report

Congenital pseudarthrosis of the tibia (CPT) is a rare, dysplastic condition that is characterized by a "false joint" in the tibia, leading to potential disability. We present a rare case report of a 12-year-old male from India with a history of neurofibromatosis type 1 (NF1) and anterolateral bowing of the tibia since birth. He sustained a tibial fracture during play. X-ray evaluation confirmed the fracture, and a clinical diagnosis of CPT was established. The treatment involved corticotomy for deformity correction and stabilization using Ilizarov's ring fixation. The procedure was successful, with post-operative radiological evaluations showing significant improvement in the center of rotation of angulation (CORA) from 60° pre-operatively to 25° post-operatively. The patient was discharged with an external fixator and after seven months, transitioned to full weight-bearing ambulation with a specialized brace. The Ilizarov procedure proved to be a safe and effective treatment for CPT, offering benefits such as limb lengthening and ankle stabilization.

December, 2020

Congenital pseudarthrosis of the tibia: Results of circular external fixation treatment with intramedullary rodding and periosteal grafting technique. - Abstract - Europe PMC

Paley Cross-Union Protocol for Treatment of Congenital Pseudarthrosis of the Tibia - ScienceDirect

Diagnostic and treatment challenge in adult presentation of congenital pseudoarthrosis of the tibia: A case report - ScienceDirect

PDF) Transient Hypertension in a case of Congenital Pseudarthrosis of Tibia treated with Ring Fixator: A Case Report

PDF] Congenital pseudarthrosis of the tibia.

PDF) Congenital Pseudoarthrosis of Tibia With Anterolateral Bowing Treated With Ilizarov Ring Fixator: A Case Report

Cureus, Socioeconomic Deprivation as a Predictor of Lower Limb Amputation in Diabetic Foot Disease

Congenital pseudarthrosis of the tibia: Biological and biomechanical considerations to achieve union and prevent refracture - D. Paley, 2019

Congenital pseudarthrosis of the tibia - ScienceDirect

PDF) Unicompartmental Knee Arthroplasty for Severe Osteoarthritis and Pseudarthrosis in a Patient with Neurofibromatosis

Paley Cross-Union Protocol for Treatment of Congenital Pseudarthrosis of the Tibia - ScienceDirect