Outcome of Congenital Pseudoarthrosis Tibia Treated with Illizarov Fixator in Children

Muhammad Zubair Javaid, Junaid Khan, Muhammad Mohsin Javaid, Zeeshan Zafar, Imtiaz Ahmed Shakir, Shahid Bashir

Abstract


OBJECTIVES: To determine the outcome of congenital pseudoarthrosis tibia (CPT) managed with illizarov fixator.

METHODS: This prospective cross-sectional study was done from 20th March 2008 to 19th March 2018. All patients presenting to the Orthopaedic out patient department (OPD) with pseudoarthrosis tibia belonging to either gender aged up to 12 years were included. All patients underwent excision of tapering ends and illizarov fixator application. Outcome was assessed in terms of complications. Data regarding age, gender, side, type of CPT and any complication was noted and analyzed using SPSS version 23.

RESULTS: 16 patients were included in the study. 10 (62.5%) were males and 6 (37.5%) females. Mean age was 4 years. 10 (62.5%) patients were type-1 and 6 (37.5%) were type-2. Evidence of neurofibromatosis was seen in 9 (56.2%) patients. Most common complications were residual leg length discrepancy (LLD), mal-alignment and delayed consolidation which was seen in 8 (50%) patients.

CONCLUSION: CPT is a periosteal disease with variable results. The study concludes that good results are achieved in 50% patients.


Keywords


Congenital pseudoarthrosis tibia, illizarov fixator, leg length discrepancy, neurofibromatosis

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