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South African Medical Journal

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Congenital pseudarthrosis of the tibia - treatment with free valcusarised fibular grafts

C.S.. F. Smit, B. J. v. R. Zeeman, W. J. Wade

Abstract


Congenital pseudarthrosis is uncommon. We report on a series of 4 patients treated by means of free vascularised fibular grafts. Complications encountered were graft fracture, delayed union and angulation deformities. Modifications in the surgical technique i=proved later results. We recommend wide excision of pathological bone, bridging of the defect by free vascularised fibular grafts and rigid fixation.




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