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East African Medical Journal

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Treatment of tibial pseudarthrosis secondary to snake bite in pediatric age: Chaaria mission hospital collaborative experience

G. Gaido, D. D’Aquila, L. Maltesi, L. Cara, A. Mbungu, J. Makandi

Abstract


In developing countries snake bites can cause necrosis and osteomyelitis, with consequent deformities, especially in children. Tibial segmental defects represent a therapeutic challenge, and are mainly due to congenital anomalies (agenesis or pseudoarthrosis), infections, post-traumatic fractures, and neoplastic lesions (6). A 13 years old girl was brought to our attention due to a severe deformity of left leg, secondary to previous osteomyelitis caused by a snake bite. The deformity was treated by osteotomy with peroneal excision and tibial synthesis with a DCP (Dynamic Compression Plate) which allowed to recover the right axis and joint rotation, allowing for a next step.



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