[Ortho] Bowing of tibia

[Rudra Narayan Pandey]

Dear Evgueny sir
I also consider it as a " antero lateral bowing of tibia" which is associated with Pseudoarthrosis.
 
But, there is no fracture as such in our case. The bony continuity is well maintained.  

Now, do u still think to do any surgery or we can wait with Orthosis?

Spasivo vam bolshoe
Jdu otveta

Dr rudra
India

Sent From Dr Rudra's Windows Phone !

-----Original Message-----
From: Evgueny <evgueny на iway.na>
Sent: Monday, October 17, 2011 03:34
To: ortho на weborto.net
Subject: Re: [Ortho] Bowing of tibia

Hello Dr.Rudra,
thank you for presenting your case.
I would think about congenital tibial pseudoarthrosis - the treatment of pathology is complex and requires patient's and family compliance. I would consider resection of pathological focus and tibial fragment transport or fibular split graft transposition bridging the zone of tibial defect using Ilizarov frame.
 
Kind Regards,
Dr. Evgueny Tchekashkine
----- Original Message -----
From: Rudra Narayan Pandey
To: Orthoforum webortho
Sent: Saturday, October 15, 2011 11:14 AM
Subject: [Ortho] Bowing of tibia


 
Patient is a 4 years old male child with bowing of the both legs. With inability to stand and walk properly.
 
In the past there is history of delayed mile stones.
 
Serum calcium, phosphorus and alkaline phosphatase are with in normal limits.
 
X rays attached.
Please help with further management plan.
 
Dr rudra
India
 

 
Sent From Dr Rudra's Windows Phone !
 

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