Classification and Treatment of Tibia Bone:
Congenital pseudarthrosis of tibia is a rare condition. It can also be seen in other long bones like femur.
Incidence
- Incidence is 1 in 2.5 lacs live births.
- In 50-90 percent of cases neurofibromatosis is present.
Classification
Boyd has classified this condition into six types and is the most accepted classification.
Clinical Features
In this condition, deformity is the chief complaint and the patient develops anterior bowing of the tibia of various severities. In a few cases, there could be pathological fractures.
Radiograph
Radiograph of the leg, AP and lateral views, are sufficient to make an accurate.
Treatment
Principles
- It depends on the age and type.
- True pseudarthrosis will not unite with casting alone.
- Tibial cyst curettage and bone grafting is done in small lesions.
- Treatment is usually surgical, once a fracture develops.
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