Congenital pseudarthrosis of the fibula and valgus deformity of the ankle in young children

Manuele Lampasi, Diego Antonioli, Giovanni Luigi Di Gennaro, Marina Magnani, Onofrio Donzelli

Research output: Contribution to journalArticle

Abstract

Treatment of cases of congenital pseudarthrosis of the fibula presenting with severe or progressive valgus deformity in early childhood is challenging. The purpose of the study presented was to analyse the deforming mechanisms to get therapeutic recommendations for this condition. A 2.5-year-old child was treated by resection of pseudarthrosis and distal tibiofibular fusion (Langenskiold operation) with autogenous bone grafting, associated with subtalar arthroereisis: progressive correction of the deformity was achieved. A 21-month-old child was treated with resection of pseudarthrosis, homologous bone grafting and fibular osteosynthesis: after failure, Langenskiold operation with autogenous bone grafting was performed and stabilization of the deformity was achieved. In young children with congenital pseudarthrosis of the fibula and valgus deformity, early surgical treatment is advisable: fibular ostheosynthesis has limited indications; distal tibiofibular fusion remains the treatment of choice, providing correction that may exceed the simple stabilization of deformity expected. Radiographic findings lead the authors to suggest that part of the effectiveness of the procedure is due to abnormal growth patterns.

Original languageEnglish
Pages (from-to)315-321
Number of pages7
JournalJournal of Pediatric Orthopaedics Part B
Volume17
Issue number6
DOIs
Publication statusPublished - Dec 2008

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Keywords

  • Ankle valgus deformity
  • Fibular pseudarthrosis
  • Langenskiold procedure

ASJC Scopus subject areas

  • Medicine(all)
  • Orthopedics and Sports Medicine
  • Pediatrics, Perinatology, and Child Health

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