Congenital pseudoarthrosis of the tibia: Healing by lengthening over a rod without compression of the nonunion. A preliminary report

Research output: Contribution to journalArticle

5 Citations (Scopus)

Abstract

This preliminary report is on two patients with congenital pseudoarthrosis of the tibia who had a persistent nonunion following intramedullary rodding and bone grafting. We do not advocate repeated surgery to achieve union. When limb length discrepancy becomes greater than 5 cm, we proceeded with an Ilizarov procedure with the primary aim of equalizing limb length rather than achieving union. Healing of the pseudoarthrosis occurred in both patients after lengthening over the intramedullary rod without compression of the nonunion site. We believe that union occurs because of hyperaemia during the lengthening. This approach minimizes the repeated surgeries that are usually needed and thus ensures a more normal childhood without frequent hospitalizations.

Original languageEnglish
Pages (from-to)207-212
Number of pages6
JournalJournal of Pediatric Orthopaedics Part B
Volume22
Issue number3
DOIs
Publication statusPublished - May 2013

Fingerprint

Tibia
Extremities
Pseudarthrosis
Bone Transplantation
Hyperemia
Hospitalization
Congenital pseudoarthrosis

Keywords

  • Ilizarov
  • intramedullary rod
  • lengthening
  • nonunion
  • pseudoarthrosis

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Orthopedics and Sports Medicine

Cite this

@article{7b7e39fcdf364faab0e3b0a2fad9d2dc,
title = "Congenital pseudoarthrosis of the tibia: Healing by lengthening over a rod without compression of the nonunion. A preliminary report",
abstract = "This preliminary report is on two patients with congenital pseudoarthrosis of the tibia who had a persistent nonunion following intramedullary rodding and bone grafting. We do not advocate repeated surgery to achieve union. When limb length discrepancy becomes greater than 5 cm, we proceeded with an Ilizarov procedure with the primary aim of equalizing limb length rather than achieving union. Healing of the pseudoarthrosis occurred in both patients after lengthening over the intramedullary rod without compression of the nonunion site. We believe that union occurs because of hyperaemia during the lengthening. This approach minimizes the repeated surgeries that are usually needed and thus ensures a more normal childhood without frequent hospitalizations.",
keywords = "Ilizarov, intramedullary rod, lengthening, nonunion, pseudoarthrosis",
author = "{Muhammad Abdul Jamil}, {Muhammad Kamal} and {Abd Rashid}, {Abdul Halim} and Sharaf Ibrahim",
year = "2013",
month = "5",
doi = "10.1097/BPB.0b013e32834ecc01",
language = "English",
volume = "22",
pages = "207--212",
journal = "Journal of Pediatric Orthopaedics Part B",
issn = "1060-152X",
publisher = "Lippincott Williams and Wilkins",
number = "3",

}

TY - JOUR

T1 - Congenital pseudoarthrosis of the tibia

T2 - Healing by lengthening over a rod without compression of the nonunion. A preliminary report

AU - Muhammad Abdul Jamil, Muhammad Kamal

AU - Abd Rashid, Abdul Halim

AU - Ibrahim, Sharaf

PY - 2013/5

Y1 - 2013/5

N2 - This preliminary report is on two patients with congenital pseudoarthrosis of the tibia who had a persistent nonunion following intramedullary rodding and bone grafting. We do not advocate repeated surgery to achieve union. When limb length discrepancy becomes greater than 5 cm, we proceeded with an Ilizarov procedure with the primary aim of equalizing limb length rather than achieving union. Healing of the pseudoarthrosis occurred in both patients after lengthening over the intramedullary rod without compression of the nonunion site. We believe that union occurs because of hyperaemia during the lengthening. This approach minimizes the repeated surgeries that are usually needed and thus ensures a more normal childhood without frequent hospitalizations.

AB - This preliminary report is on two patients with congenital pseudoarthrosis of the tibia who had a persistent nonunion following intramedullary rodding and bone grafting. We do not advocate repeated surgery to achieve union. When limb length discrepancy becomes greater than 5 cm, we proceeded with an Ilizarov procedure with the primary aim of equalizing limb length rather than achieving union. Healing of the pseudoarthrosis occurred in both patients after lengthening over the intramedullary rod without compression of the nonunion site. We believe that union occurs because of hyperaemia during the lengthening. This approach minimizes the repeated surgeries that are usually needed and thus ensures a more normal childhood without frequent hospitalizations.

KW - Ilizarov

KW - intramedullary rod

KW - lengthening

KW - nonunion

KW - pseudoarthrosis

UR - http://www.scopus.com/inward/record.url?scp=84875808767&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84875808767&partnerID=8YFLogxK

U2 - 10.1097/BPB.0b013e32834ecc01

DO - 10.1097/BPB.0b013e32834ecc01

M3 - Article

C2 - 22182834

AN - SCOPUS:84875808767

VL - 22

SP - 207

EP - 212

JO - Journal of Pediatric Orthopaedics Part B

JF - Journal of Pediatric Orthopaedics Part B

SN - 1060-152X

IS - 3

ER -