Pseudoartrosi congenita della gamba. Trattamento con fissatore di Ilizarov

Translated title of the contribution: Congenital pseudoarthrosis of the tibia: Treatment using Ilizarov device

S. Boero, M. Carbone, P. V. Frediani, G. Marre Brunenghi, S. Mastragostino

Research output: Contribution to journalArticlepeer-review

Abstract

The authors followed up 9 cases of congenital pseudoarthrosis associated with neurofibromatosis-1 (or Von Recklinghausen's disease) at least 2 years after the end of treatment using Ilizarov's method. All patients, except one, had previously undergone one or more operations using traditional techniques. Three types of device were used: a) direct compression of pseudoarthrosis stumps; b) extensive resection of stumps, their immediate compression and proximal metaphyseal corticotomy to compensate dysmetry; c) 'lift' technique. The following were evaluated: 1) immediate results: consolidation of pseud0arthrosis (7 cases out of 9) in relation to level, anatomopathological type and device used; 2) onset of fractures or axial deviations within the first 2 years of removal of fixator (3 axial deviations and 3 fractures) and their treatment; 3) long-term results: 45% of consolidation. In conclusion, the authors affirm that, while Ilizarov's method is able to improve the prognosis of congenital pseudoarthrosis in neurofibromatosis-1, it does not allow a reliable recovery to be made in all patients. Prognosis continues to be reserved especially in clepsydra forms and those localised to the lower third of the tibia.

Translated title of the contributionCongenital pseudoarthrosis of the tibia: Treatment using Ilizarov device
Original languageItalian
Pages (from-to)441-446
Number of pages6
JournalMinerva Ortopedica e Traumatologica
Volume47
Issue number9
Publication statusPublished - 1996

ASJC Scopus subject areas

  • Surgery

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