Congenital dysplasia of the tibia, previously named congenital pseudoarthrosis, is a very rare disorder, affecting 1 in 140,000 live-born children. Some of those cases are associated with neurofibromatosis or Von Recklinghausen disease and involvement of the fibula has been reported in 62% of cases . The diagnosis is usually made at birth. The natural history of the disease is extremely dark and once a fracture occurs, there is no tendency to heal spontaneously. We would like to report a 12 years followed-up case, treated with different methods with the aim of revise different treatment techniques depending on the age of the patient and the kind of fracture
