Congenital pseudarthrosis of the tibia (CPT) is a rare pathology, which is usually associated with neurofibromatosis type I. The natural history of the disease is extremely unfavorable and once a fracture occurs, there is a little or no tendency for the lesion to heal spontaneously. It is challenging to treat effectively this difficult condition and its possible complications. Treatment is mainly surgical and it aims to obtain a long term bone union, to prevent limb length discrepancies, to avoid mechanical axis deviation, soft tissue lesions, nearby joint stiffness, and pathological fracture. The key to get primary union is to excise hamartomatous tissue and pathological periosteum. Age at surgery, status of fibula, associated shortening, and deformities of leg and ankle play significant role in primary union and residual challenges after primary healing. Unfortunately, none of invasive and noninvasive methods have proven their superiority. Surgical options such as intramedullary nailing, vascularized fibula graft, and external fixator, have shown equivocal success rate in achieving primary union although they are often associated with acceptable results. Amputation must be reserved for failed reconstruction, severe limb length discrepancy and gross deformities of leg and ankle. Distinct advantages, complications, and limitation of each primary treatment as well as strategies to deal with potential complications have been described. Each child with CPT must be followed up till skeletal maturity to identify and rectify residual problems after primary healing.
Knee replacement surgery is a transformative procedure for individuals experiencing chronic knee pain and mobility issues due to arthritis, injury, or degenerative conditions. However, understanding the different types of knee replacement surgeries is essential to determine which procedure suits your needs. This blog explores the types of knee replacement surgeries, their benefits, and factors influencing…
Read MoreJoint pain and injuries affect an individual’s quality of life, thereby restricting mobility and daily activities. Modern scientific discoveries have assisted patients with diagnosing and treating such issues. Amongst the leading discoveries made regarding this subject is arthroscopy. This surgical procedure diagnoses and treats joint problems by the minimally invasive surgical procedure of arthroscopy. This…
Read MoreKnee replacement surgery is a transformative procedure for individuals experiencing chronic knee pain and mobility issues due to arthritis, injury, or degenerative conditions. However, understanding the different types of knee replacement surgeries is essential to determine which procedure suits your needs. This blog explores the types of knee replacement surgeries, their benefits, and factors influencing…
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