Abstract:
Introduction: given the recalcitrant behaviour of pseudarthrosis in congenital pseudarthrosis of tibia (CPT) there is no
ideal solution to treat such challenging deformities. Reconsideration of already known principles using modern technology
may generate new treatment methods.
Material and methods: the present paper presents the preliminary results of an original reconstruction procedure described
by Prof. Dr. Gh. Burnei to treat large bone defects in paediatric orthopaedics. A case series study, the surgical technique,
complications and illustrative cases are presented.
Results: 4 cases of 18 patients having CPT, surgically treated between 1997 and 2012, were operated using this technique.
The principles of the method is to create an optimal osteoconductive and osteoinductive environment using bone autograft,
bone allograft and bone graft substitutes and to provide a good stabilisation of the bones. The follow-up period of the study
group ranged from 2 to 17 years. Three of the 4 patients are able to ambulate.
Conclusion: we believe that the present technique could be a reliable alternative to other procedures, especially in cases of
repeated failures.
Description:
Emergency Hospital for Children MS Curie, Bucharest, Romania, Al VIII-lea Congres Naţional de Ortopedie și Traumatologie cu participare internaţională 12-14 octombrie 2016
