Cureus, Congenital Pseudoarthrosis of Tibia With Anterolateral Bowing Treated With Ilizarov Ring Fixator: A Case Report

Congenital pseudarthrosis of the tibia (CPT) is a rare, dysplastic condition that is characterized by a "false joint" in the tibia, leading to potential disability. We present a rare case report of a 12-year-old male from India with a history of neurofibromatosis type 1 (NF1) and anterolateral bowing of the tibia since birth. He sustained a tibial fracture during play. X-ray evaluation confirmed the fracture, and a clinical diagnosis of CPT was established. The treatment involved corticotomy for deformity correction and stabilization using Ilizarov's ring fixation. The procedure was successful, with post-operative radiological evaluations showing significant improvement in the center of rotation of angulation (CORA) from 60° pre-operatively to 25° post-operatively. The patient was discharged with an external fixator and after seven months, transitioned to full weight-bearing ambulation with a specialized brace. The Ilizarov procedure proved to be a safe and effective treatment for CPT, offering benefits such as limb lengthening and ankle stabilization.

Congenital pseudarthrosis of the tibia: Management and complications

Management of Congenital Pseudoarthrosis of the Tibia and Fibula. - Abstract - Europe PMC

PDF) Congenital pseudarthrosis of the tibia: Biological and biomechanical considerations to achieve union and prevent refracture

Vishal S Patil's research works Dr. D. Y. Patil Dental College and Hospital, Pune and other places

December, 2020

Anterolateral Bowing & Congenital Pseudoarthrosis of Tibia - Pediatrics - Orthobullets

Knee arthrodesis with the Ilizarov external fixator as treatment for septic failure of knee arthroplasty, Journal of Orthopaedics and Traumatology

December, 2020

Management of Congenital Pseudoarthrosis of the Tibia and Fibula. - Abstract - Europe PMC

Diagnostic and treatment challenge in adult presentation of congenital pseudoarthrosis of the tibia: A case report - ScienceDirect

Diagnostic and treatment challenge in adult presentation of congenital pseudoarthrosis of the tibia: A case report - ScienceDirect

Management of Congenital Pseudoarthrosis of the Tibia and Fibula. - Abstract - Europe PMC

Outcome of Congenital Pseudoarthrosis Tibia Treated with Illizarov Fixator in Children, Javaid

Efficacy of the “Eiffel tower” double titanium elastic nailing in combined management of congenital pseudarthrosis of the tibia: preliminary outcomes of 17 cases with review of literature, BMC Musculoskeletal Disorders