Congenital pseudoarthrosis of the tibia remains one of the most difficult conditions to treat in orthopedic surgery. Seven cases were treated in our hospital by different methods. Three out of seven patients were healed, two of these refractured. At follow-up, the success rate was 14% (one out of seven cases). It is our recommendation that early primary amputation with an appropriate prosthesis should be considered, and that the final evaluation should not be based on obtaining bone union, but on the level of function of the lower extremity.
Address correspondence and reprint requests to Dr Wallace B. Lehman, Pediatric Orthopaedics, Hospital For Joint Diseases, 301 East 17th Street, New York, NY 10003, USA.
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