A double approach to the treatment of congenital pseudoarthrosis: Endomedullary nail fixation and stimulation with low frequency pulsing electromagnetic fields (PMFs)

The Authors report their experience in the treatment of congenital pseudoarthrosis by means of a double approach: surgical, by endomedullary nail fixation, and stimulatory with PMFs. Although the number of treated patients is small, they represent an extremely homogeneous selection, both with respect to the patients age and the surgical orthopaedic treatment performed. Immediately after surgery the patients started stimulation with PMFs. This lasted 1 year; the daily stimulation time was 10-12 hours and was performed at the patient's home. The results we obtained allow us to state that the contemporary treatment, nail fixation and PMF stimulation, not only reaches a high success percentage, but it also stops the imbalance between healthy and affected limb. The Authors suggest that PMF stimulation be recommended in the management of this illness.