• 1

    DiGiovanni CW, Ehrlich MG: Treatment of congenital pseudarthrosis of the fibula with interposition allograft. Orthopedics 21: 1225, 1998.

  • 2

    Eisenberg KA, Vuillermin CB: Management of congenital pseudoarthrosis of the tibia and fibula. Curr Rev Musculoskelet Med 12: 356, 2019.

  • 3

    Dooley BJ, Menelaus MB, Paterson DC: Congenital presudoarthrosis and bowing of the fibula. J Bone Joint Surg Br 56: 739, 1974.

  • 4

    Cho T-J, Choi IH, Chung CY, et al: Isolated congenital pseudarthrosis of the fibula. J Pediatr Orthop 26: 449, 2006.

  • 5

    Martus JE, Johnston CE: Isolated congenital pseudoarthrosis of the fibula. J Pediatr Orthop 28: 825, 2008.

  • 6

    Goh JC, Mech AM, Lee EH, et al: Biomechanical study on the load-bearing characteristics of the fibula and the effects of fibular resection. Clin Orthop Relat Res 279: 223, 1992.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 7

    Dias LS: Valgus deformity of the ankle joint: pathogenesis of fibular shortening. J Pediatr Orthop 5: 176, 1985.

  • 8

    Narasimhan RR, Banta JV: Congenital pseudarthrosis of the fibula. Orthopedics 24: 499, 2001.

  • 9

    Langenskiöld A: Pseudarthrosis of the fibula and progressive valgus deformity of the ankle in children. J Bone Joint Surg Am 49: 463, 1967.

  • 10

    Ng BKW, Saleh M: Fibula pseudarthrosis revisited treatment with Ilizarov apparatus: case report and review of the literature. J Pediatr Orthop B 10: 234, 2001.

  • 11

    Cherrad T, Zejjari H, Bousbaä H, et al: Isolated congenital pseudarthrosis of the fibula: a report of two cases and review of the literature. J Clin Orthop Trauma 10: 797, 2019.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 12

    Trigui M, de Billy B, Metaizeau J-P, et al: Treatment of congenital pseudarthrosis of the fibula by periosteal flap. J Pediatr Orthop B 19: 473, 2010.

Treatment of Recalcitrant Isolated Congenital Fibular Pseudarthrosis: Fibular Segment Transfer and Tibiofibular Synostosis with Unilateral External Fixator

Damla Fidan Yamanel Istanbul University-Cerrahpasa, Istanbul, Turkey.

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Bedri Karaismailoglu Istanbul University-Cerrahpasa, Istanbul, Turkey.

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Turgut Nedim Karaismailoglu Istanbul University-Cerrahpasa, Istanbul, Turkey.

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Isolated congenital pseudarthrosis of the fibula is a rare entity with a limited number of cases reported in the literature. Treatment is challenging because of recalcitrant nonunion and because no consensus about the best treatment plan exists. We report a case of isolated congenital fibular pseudarthrosis with valgus deformity of the ankle. The patient had a history of two failed operations. We used a novel surgical plan that combined tibiofibular synostosis with fibular segment transfer through a unilateral external fixator. The patient showed good early results with fibular union. We advocate the combination of tibiofibular synostosis and fibular segment transfer to restore the integrity and stability of the ankle in recalcitrant isolated congenital fibular pseudarthrosis cases with a history of failed surgery.

Corresponding author: Bedri Karaismailoglu, Asst. Prof., Istanbul University-Cerrahpasa Istanbul, Turkey. (E-mail: bedrikio@hotmail.com)
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