RESIDUAL NON-UNION IN A CASE OF TWO AND HALF YEAR OLD CHILD CONGENITAL PSEUDOARTHROSIS OF IPSILATERAL TIBIA AND FIBULA TREATED BY INTRAMEDULLARY FIXATION WITH K-WIRE AND ALLOGENIC CANCELLOUS STRUT GRAFT: A CASE REPORT
Journal Title: International Journal of Medical Research & Health Sciences (IJMRHS) - Year 2013, Vol 2, Issue 2
Abstract
The pseudarthrosis usually develops during the first two years of life; however, there are reports of cases in which fractures developed before birth and reports of late-onset pseudarthrosis. There is a strong association between Congenital pseudoarthrosis and Type I neurofibromatosis. CPT develops in about 5.7% of patients with NF-I and 40% of patients with pseudoarthrosis were found to have NF-I. Main pathology is hyperplasia of fibroblasts with the formation of dense fibrous tissue at fracture site causing osteolysis, and persistence of pseudarthrosis. The difficulty in treating this condition occurs because of two factors. 1) Biologic: poor healing ability of the dysplastic segment of bone and 2) Mechanical: technical difficulty to fix small and osteopenic bone fragments in children without damaging the distal physis. A multitude of treatment protocols focusing on stimulating the healing process by using different bone grafting techniques were documented6. The graft materials most commonly used included osteoperiosteal graft, massive only graft, autogenous iliac crest bone graft, and vascularised bone graft.
Authors and Affiliations
Siddaram N Patil| Professor, Dept of Orthopaedics, Mamata Medical College & General Hospital, Khammam, AP, India Corresponding author email: drsnp_2006@yahoo.co.in, Sankar Rao P| Assistant Professor, Dept of Orthopaedics, Mamata Medical College & General Hospital, Khammam, AP, India, Ranjith K Yalamanchili| PGstudent, Dept of Orthopaedics, Mamata Medical College & General Hospital, Khammam, AP, India
Keywords
Related Articles
- EP ID EP10971
- DOI -
- Views 330
- Downloads 21
PREVALENCE AND FUNGAL PROFILE OF PULMONARY ASPERGILLOSIS IN IMMUNOCOMPROMISED AND IMMUNOCOMPETENT PATIENTS OF A TERTIARY CARE HOSPITAL
Background: Aspergillus is a fungus which may present an array of pulmonary manifestations, depending on the patient's immunological and physiological state. Although the incidence of pulmonary aspergillosis occurs prim...
IMMEDIATE MOBILISATION WITH COMPLETE WEIGHT BEARING AFTER UNCEMENTED TOTAL HIP REPLACEMENT IN ELDERLY
This prospective study was analyzed in 23 patients who were allowed to do immediate weight bearing after uncemented total hip arthroplasty. Immediate mobilization shortened the hospital stay and facilitated early rehab...
Radiological (MRI) and Biochemical effects of Low Level LASER therapy in chronic Osteo arthritis in Al-Kharj, Saudi Arabia: A Randomized Control Trial
Osteoarthritis is one of the degenerative diseases and Low level laser therapy (LLLT) has been prescribed as nonoperative treatment in physiotherapy. But the available evidences of finding the radiological and biochemica...
EFFECT OF SLOW RHYTHMIC VOLUNTARY BREATHING PATTERN ON ISOMETRIC HANDGRIP AMONG HEALTH CARE STUDENTS
Introduction: Hand grip strength is a widely used test in experimental and epidemiological studies. The measure of hand grip strength is influenced by several factors, including age; gender; different angle of the shoul...
Evaluating In-service Training Climate between Medical Libraries in Northern Iran
In-service training has been used as a certain procedure for improving service quality and developing staff knowledge and awareness. This study aimed to evaluate the in-service training climate in libraries located in...