Case 29: Eight Year Old Child with Congenital Pseudarthrosis Tibia and Severe Deformity. Correction of Deformity with Double Osteotomy, Insertion of Fassier-Duval Rod and OP-1 Application

Abstract

This is a case of congenital pseudarthrosis of the tibia in an 8 year old boy who presented with a non-displaced fracture of his tibia. Surgical treatment included realignment of the tibia with double osteotomies, excision of the pseudarthrosis site, internal fixation of the tibia with a Fassier-Duval rod, cancellous bone graft from the iliac crest, and OP-1 (BMP7) application to both osteotomy sites. At the last follow-up, 7 years following the surgery, both sites remain healed with good alignment. The patient is completely asymptomatic and functioning well with a full-contact AFO. He is scheduled for a contralateral distal femoral epiphysiodesis to correct a limb length discrepancy of 2.5 cm.