Vascularized Fibular Graft vs. Bone Carriage in the Treatment of Congenital Pseudarthrosis of the Tibia

This retrospective study was conducted to evaluate the results of the most successful techniques for treating infantile tibial nonunion. Twenty-five cases were treated by contralateral vascularized fibular grafting; 23 of them healed well. In the bone carriage group, 13 cases were available for analysis; all healed primarily, but 4 cases refractured and revision of the procedure was necessary. A score system was devised to compare the economic burden of both procedures.

This study reported on the factors that would help to choose a specific procedure for a specific patient, most likely to be successful and with the least economic burden, which is an important issue in developing countries.