Volume 26, Issue 127, September 2022

Free Periosteal Graft with Bone Morphogenic Protein 2 and Internal Fixation combination as Treatment of Congenital Pseudoarthrosis of the tibia

Abdulwahab Ahmed Alzahrani^♦

Surgery Department, Faculty of Medicine, Albaha University, Albaha, Saudi Arabia

^♦Corresponding author
Dr. Abdulwahab Ahmed Alzahrani, M.D. Surgery Department, Faculty of Medicine, Albaha University, Albaha 65561, Saudi Arabia

ABSTRACT

Pediatric orthopedics contains various musculoskeletal deformities. Functional distortion, biological and structural abnormalities are the common denominator among congenital or acquired pediatric deformities. Leg bowing, shortening, and catastrophic fracture representing the predominant characteristics of congenital pseudoarthrosis of the tibia in this case report. Plate and screw internal fixation with bone graft augmentation, and complementary pharmacological therapy by zoledronic acid peri-operation are used in the treatment plan after failure of conservative and rigid external fixation trial. An accepted healing, restoration of the mechanical alignment, and minor shortening were the final results of 4 years follow up.

Keywords: Congenital pseudoarthrosis, periosteal graft, Paley X-Union protocol, 2 Bone Morphogenic Protein 2, BMP2.

Medical Science, 2022, 26, ms356e2339

PDF

DOI: https://doi.org/10.54905/disssi/v26i127/ms356e2339

Published: 06 September 2022