Long-term follow-up on the use of vascularized fibular graft for the treatment of congenital pseudarthrosis of the tibia
<p>Abstract</p> <p>Background</p> <p>Congenital pseudoarthrosis of the tibia (CPT) is one of the most difficult conditions to treat.</p> <p>Methods</p> <p>Five girls and 3 boys with CPT were treated by vascularized fibular grafting (VFG). The ave...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
BMC
2008-03-01
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| Series: | Journal of Orthopaedic Surgery and Research |
| Online Access: | http://www.josr-online.com/content/3/1/13 |
| _version_ | 1828117357671743488 |
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| author | Kojima Tetsuo Uchida Yoshio Yoshida Tatsuya Sakamoto Akio Kubota Hideaki Iwamoto Yukihide |
| author_facet | Kojima Tetsuo Uchida Yoshio Yoshida Tatsuya Sakamoto Akio Kubota Hideaki Iwamoto Yukihide |
| author_sort | Kojima Tetsuo |
| collection | DOAJ |
| description | <p>Abstract</p> <p>Background</p> <p>Congenital pseudoarthrosis of the tibia (CPT) is one of the most difficult conditions to treat.</p> <p>Methods</p> <p>Five girls and 3 boys with CPT were treated by vascularized fibular grafting (VFG). The average age at VFG was 7.0 years (range: 1.9–11.5 years) with an average follow-up term of 11.7 years (range: 4.9–19.6 years). Five of the children had undergone multiple operations before VFG, while the other 3 had no such history.</p> <p>Results</p> <p>Bone consolidation was obtained in all cases after an average term of 6.6 months (range: 4–10 months); this was with the first VFG in 7 cases but with the second VFG in 1 case. Complication of stress fracture and ankle pain occurred in 1 and 3 cases, respectively, only in cases undergoing multiple operations. Leg-length discrepancy was more prominent in the patients with multiple previous operations (mean: 7.5 cm), than in the cases with no prior surgery (mean: 0.7 cm).</p> <p>Conclusion</p> <p>The long-term results of VFG for CPT were excellent, especially in the cases, with no prior surgery. VFG should be considered as a primary treatment option for CPT.</p> |
| first_indexed | 2024-04-11T13:14:09Z |
| format | Article |
| id | doaj.art-d64189567678405488129994dcfcbcd8 |
| institution | Directory Open Access Journal |
| issn | 1749-799X |
| language | English |
| last_indexed | 2024-04-11T13:14:09Z |
| publishDate | 2008-03-01 |
| publisher | BMC |
| record_format | Article |
| series | Journal of Orthopaedic Surgery and Research |
| spelling | doaj.art-d64189567678405488129994dcfcbcd82022-12-22T04:22:28ZengBMCJournal of Orthopaedic Surgery and Research1749-799X2008-03-01311310.1186/1749-799X-3-13Long-term follow-up on the use of vascularized fibular graft for the treatment of congenital pseudarthrosis of the tibiaKojima TetsuoUchida YoshioYoshida TatsuyaSakamoto AkioKubota HideakiIwamoto Yukihide<p>Abstract</p> <p>Background</p> <p>Congenital pseudoarthrosis of the tibia (CPT) is one of the most difficult conditions to treat.</p> <p>Methods</p> <p>Five girls and 3 boys with CPT were treated by vascularized fibular grafting (VFG). The average age at VFG was 7.0 years (range: 1.9–11.5 years) with an average follow-up term of 11.7 years (range: 4.9–19.6 years). Five of the children had undergone multiple operations before VFG, while the other 3 had no such history.</p> <p>Results</p> <p>Bone consolidation was obtained in all cases after an average term of 6.6 months (range: 4–10 months); this was with the first VFG in 7 cases but with the second VFG in 1 case. Complication of stress fracture and ankle pain occurred in 1 and 3 cases, respectively, only in cases undergoing multiple operations. Leg-length discrepancy was more prominent in the patients with multiple previous operations (mean: 7.5 cm), than in the cases with no prior surgery (mean: 0.7 cm).</p> <p>Conclusion</p> <p>The long-term results of VFG for CPT were excellent, especially in the cases, with no prior surgery. VFG should be considered as a primary treatment option for CPT.</p>http://www.josr-online.com/content/3/1/13 |
| spellingShingle | Kojima Tetsuo Uchida Yoshio Yoshida Tatsuya Sakamoto Akio Kubota Hideaki Iwamoto Yukihide Long-term follow-up on the use of vascularized fibular graft for the treatment of congenital pseudarthrosis of the tibia Journal of Orthopaedic Surgery and Research |
| title | Long-term follow-up on the use of vascularized fibular graft for the treatment of congenital pseudarthrosis of the tibia |
| title_full | Long-term follow-up on the use of vascularized fibular graft for the treatment of congenital pseudarthrosis of the tibia |
| title_fullStr | Long-term follow-up on the use of vascularized fibular graft for the treatment of congenital pseudarthrosis of the tibia |
| title_full_unstemmed | Long-term follow-up on the use of vascularized fibular graft for the treatment of congenital pseudarthrosis of the tibia |
| title_short | Long-term follow-up on the use of vascularized fibular graft for the treatment of congenital pseudarthrosis of the tibia |
| title_sort | long term follow up on the use of vascularized fibular graft for the treatment of congenital pseudarthrosis of the tibia |
| url | http://www.josr-online.com/content/3/1/13 |
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