A literature review of current surgical treatment for congenital pseudoarthrosis of the tibia

Panji - Sananta (1), Ade Yahya Nasution (2), Eka Noviya Fuzianingsih (3)
(1) Orthopaedic and Traumatology Department, Faculty of Medicine Universitas Brawijaya, Saiful Anwar General Hospital, Malang, Indonesia, Indonesia,
(2) Orthopaedic and Traumatology Department, Faculty of Medicine Universitas Brawijaya, Saiful Anwar General Hospital, Malang, Indonesia, Indonesia,
(3) Master of Immunology Study Program, Postgraduate School, Universitas Airlangga, Surabaya, Indonesia

Abstract

Congenital pseudarthrosis of the tibia (CPT) is an infrequently observed condition. However, it is considered to be one of the most complex ailments in the field of pediatric orthopedics. In cases where a tibial fracture is absent, the conventional treatment approach involves using bracing as a preventive measure against fractures. Various surgical modalities have been proposed for the management of CPT, including intramedullary (IM) rod fixation, external fixators, on-lay grafts, cancellous grafts, periosteal grafts, Paley cross-union, amputation, vascularized fibula grafts, and induced membrane techniques. These modalities can be used in different combinations and permutations. The need for repetitive surgical interventions due to unsuccessful therapeutic outcomes or modifications in secondary treatments can significantly disrupt the childhood experience, resulting in prolonged and recurrent functional limitations. In certain instances, amputation may be required as a primary or secondary treatment modality. This literature review will clarify the current surgical interventions for CPT disease based on a summary of research data. The surgery the patient receives significantly impacts their general health and capacity to heal.

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Authors

Panji - Sananta
panjisananta@ub.ac.id (Primary Contact)
Ade Yahya Nasution
Eka Noviya Fuzianingsih
Author Biographies

Panji - Sananta, Orthopaedic and Traumatology Department, Faculty of Medicine Universitas Brawijaya, Saiful Anwar General Hospital, Malang, Indonesia

Lecturer of Medicine Faculty, Universitas Brawijaya, Malang, East Java

Eka Noviya Fuzianingsih, Master of Immunology Study Program, Postgraduate School, Universitas Airlangga, Surabaya, Indonesia

Master of Immunology Study Program, Postgraduate School, Universitas Airlangga, Surabaya, Indonesia
Sananta, P. .-., Nasution, A. Y., & Fuzianingsih, E. N. (2024). A literature review of current surgical treatment for congenital pseudoarthrosis of the tibia. Qanun Medika - Medical Journal Faculty of Medicine Muhammadiyah Surabaya, 8(02). https://doi.org/10.30651/jqm.v8i02.19066

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