Journal of Limb Lengthening & Reconstruction

ORIGINAL ARTICLE
Year
: 2020  |  Volume : 6  |  Issue : 1  |  Page : 61--66

Insufficiency fracture of the distal femur during ilizarov treatment for congenital pseudarthrosis of the tibia


Mahmoud A El-Rosasy, Abdullah Ahmed Nada 
 Department of Orthopedics, Unit of Limb Reconstruction and Pediatric Orthopedics, Tanta School of Medicine, Tanta University, Tanta, Egypt

Correspondence Address:
Dr. Abdullah Ahmed Nada
Department of Orthopedics, Unit of Limb Reconstruction and Pediatric Orthopedics, Tanta School of Medicine, Tanta University, Tanta
Egypt

Background: Patients with congenital pseudarthrosis of the tibia (CPT) usually have significant limb length discrepancy that requires lengthening. In the presence of generalized osteopenia in CPT patients, insufficiency fractures of distal femur can occur during lengthening. No reports in the literature have described this complication and its management. Patients and Methods: We report three cases of CPT with distal femur insufficiency fracture during the treatment by Ilizarov frame. The fracture was minimally displaced. Under general anesthesia, traction and manipulation for fracture reduction were done. A cast was wrapped around the thigh, then three rods were added to the proximal ring to surround the thigh, and then another cast was used to connect the rods and the first cast. Results: In these three cases, healing of the fracture was achieved within 7 weeks without any complications, and the management of CPT continued as planned. Conclusion: The new technique provides a stable construct based on the already mounted frame; thus, healing of the fracture is achieved in a simple, easy, and cheap way with no documented complications.


How to cite this article:
El-Rosasy MA, Nada AA. Insufficiency fracture of the distal femur during ilizarov treatment for congenital pseudarthrosis of the tibia.J Limb Lengthen Reconstr 2020;6:61-66


How to cite this URL:
El-Rosasy MA, Nada AA. Insufficiency fracture of the distal femur during ilizarov treatment for congenital pseudarthrosis of the tibia. J Limb Lengthen Reconstr [serial online] 2020 [cited 2020 Nov 30 ];6:61-66
Available from: https://www.jlimblengthrecon.org/article.asp?issn=2455-3719;year=2020;volume=6;issue=1;spage=61;epage=66;aulast=El-Rosasy;type=0