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Management of Congenital Pseudoarthrosis of the Tibia and Fibula

  • Pediatric Orthopedics (B Heyworth, Section Editor)
  • Published:
Current Reviews in Musculoskeletal Medicine Aims and scope Submit manuscript

Abstract

Purpose of Review

Congenital pseudoarthrosis of the tibia and fibula are rare conditions that share common treatment strategies. The purpose of this review is to provide an overview of the recent developments in treatments for both conditions.

Recent Findings

Recent literature has focused on the use of BMP and on gait analysis as a tool for measuring long-term functional outcomes. Recent study has indicated rhBMP-2 may shorten the time to initial healing of pseudoarthroses, but not guarantee bony union. Children with initial fractures before the age of four have been shown to have long-term gait outcomes that may be ultimately comparable to children with prostheses.

Summary

Both congenital pseudoarthrosis of the tibia and fibula are challenging conditions to treat, which require comprehensive approaches to account for both the biological and mechanical components of the conditions.

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  1. Department of Orthopedic Surgery, Boston Children’s Hospital, 300 Longwood Ave, Boston, MA, 02115, USA

    Katherine A. Eisenberg & Carley B. Vuillermin

  2. Boston Children’s Hospital, 300 Longwood Ave, Boston, MA, USA

    Carley B. Vuillermin

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  1. Katherine A. Eisenberg
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Eisenberg, K.A., Vuillermin, C.B. Management of Congenital Pseudoarthrosis of the Tibia and Fibula. Curr Rev Musculoskelet Med 12, 356–368 (2019). https://doi.org/10.1007/s12178-019-09566-2

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