Muhammad Ayaz Khan, Muhammad Salman, Muhammad Imran Khan, Muhammad Bilal, Tamjeed Gul.
Treatment of congenital pseudoarthrosis of tibia with ilizarov external fixator.
Pak J Surg Jan ;28(1):12-6.

Objectives: To determine the outcomeof congenital pseudoarthrosis of tibia (CPT) with ilizarov external fi xator in terms of stable union. Study Design: Descriptive study. Sett ings: Th is study was performed on 10 patients in Orthopaedic and Trauma unit, Khyber Teaching Hospital and Khyber Medical Center Dabgari Garden, Peshawar from March 2007 to March 2011. Material & Methods: Patients of either gender with age below 15 years and with supple ankle and knee joints having congenital pseudoarthrosis of tibia were included in the study excluding those with other associated congenital anomalies and those with acquired pseudoarthrosis of tibia. Th ese patients were followed upto 2 years. Outcome was recorded in terms of solid union at the pseudoarthrosis site by radiography and clinically at time of removal of the ilizarov ring fi xator. Results: Out of 10 patients , six (60%) were female and four (40%) were male. Mean age was 8.5 years (3 to 14 years). Th e right tibia was aff ected in 7 cases (70%) and left one in 3 cases (30%). All patients were treated with resection of the pseudoarthrosis site and compression + fi xation with ilizarov fi xator initially with union achieved in 8 patients (80%). Th e over all success rate was 90%. Conclusion: Ilizarov fi xator is an excellent treatment modality for the treatment of Congenital Pseudoarthrosis of tibia regarding bone union, deformity correction, limb lengthening procedures and especially in situations when healing has failed to occur despite many previous surgeries.

PakMediNet -Pakistan's largest Database of Pakistani Medical Journals - http://www.pakmedinet.com