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- Title
A MULTIMODEL APPROACH TO THE TREATMENT OF CONGENITAL PSEUDOARTHROSIS (CPT) IN HUSM.
- Authors
A. R., Sulaiman; W. I., Faisham; S., Nordin; A. S., Halim; W., Zulmi
- Abstract
INTRODUCTION: CPT is rare problem and difficult to treat. The most accepted treatment methods are complete excision of disease tissue followed by either intramedullary nail (IMN), vascularized fibular graft (VFG) or ilizarov bone transport. METHODOLOGY: We review result of our multimodel treatment approach to this difficult problem.VFG was used when the bone gap following resection was more than 4 cm while ilizarov was used when the gap was less than 4 cm. In the VFG group, intramedullary nail was inserted after the fibula hyperthrophy. IMN was inserted in the beginning of reconstruction in the ilizarov group RESULT: There were 3 patients treated with VFG and 2 patients treated with ilizarov method. All patients had united tibia, with one awaiting for intramedullary nail. There were no evidence of neural tissue in the excised specimen from all patients. Evidence of Neurofibromatosis Type I were found in all patients. CONCLUSION: IMN together with VFG or ilizarov as primary treatment of CPT is a safe alternative treatment method to this difficult problem.
- Subjects
PSEUDARTHROSIS; INTRAMEDULLARY rods; UNUNITED fractures; WOUND healing; JOINTS (Anatomy)
- Publication
Malaysian Journal of Medical Sciences, 2006, Vol 13, p157
- ISSN
1394-195X
- Publication type
Article