Congenital pseudoarthrosis of the tibia in children. The role of microsurgery in limb reconstruction

Abstract

The analysis of domestic and foreign literature sources on сongenital pseudoarthrosis of the tibia in children. First part of the article describes about etiology and pathogenesis, methods and timing of conservative and surgical treatment, complications in the treatment of сongenital pseudoarthrosis of the tibia in children. Special attention is paid to cases of сongenital pseudoarthrosis of the tibia in combination with neurofibromatosis type 1. Indications and possible complications of the microsurgical stage – replacement of an extensive tibial defect with a free bloodsupplied fibular bone flap. The section description of the clinical case presents the result of treatment of a pediatric patient with сongenital pseudoarthrosis of the tibia against the background of neurofibromatosis type 1, complicated by an extensive defect of the tibia.