Experiencia del Instituto de Ortopedia Infantil Roosevelt en el manejo de pacientes con pseudoartrosis congenita de tibia

Abstract

Congenital pseudarthrosis of the tibia is a disease of low incidence, but with significant morbidity in patients affected by it. It is a challenge for the pediatric orthopedist because there is no consensus on its etiology and treatment. The difficulty in handling, is in obtaining and maintaining union or consolidation and simultaneously provide a functional limb. The purpose of this study is to describe the results in the management of this disease in the Roosevelt Children"s Orthopedic Institute. METHODOLOGY A retrospective review that included all patients with this disease, between 1980-2010, an institution specializing in child orthopedics IV level. RESULTS In total 26 patients were found, with the right leg most affected by this disease. 24 patients achieved consolidation of pseudoarthrosis after several surgical procedures, with a median time to consolidate after their final treatment of 10.1 months. Treatment was conducted over the structural allograft and complications were the angular deformity and length discrepancy. DISCUSSION : This is a disease of high complexity, requiring a multidisciplinary approach and multiple treatments in order to achieve the consolidation of the tibia and with a high incidence of orthopedic complications. Further studies are needed to address the problems of these patients.