de Boer, Herman H

Nielsen, Hans KL

van der Eijken, Jan W

Verbout, Abraham J

Four patients with neurofibromatosis and a dysplastic type of congenitalpseudarthrosis of the tibia were treated by resection of the lesion andreconstruction of the extremity with a free vascularized fibular graft. Solidunion of the graft was achieved within 3 months in 3 children. However, valgusmalalignment of the tibia progressed in all 3. One child was treated withresection of a lateral fibrotic band and another with distal tibial epiphysialdistraction and realignment. In the fourth patient, who was skeletally mature,a nonunion developed proximally

Free vascularized fibular graft for tibial pseudarthrosis in neurofibromatosis

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