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<DIV><FONT face=Arial>Hello Dr.Rudra,</FONT></DIV>
<DIV><FONT face=Arial>thank you for presenting your case.</FONT></DIV>
<DIV><FONT face=Arial>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.</FONT></DIV>
<DIV><FONT face=Arial></FONT> </DIV>
<DIV><FONT face=Arial>Kind Regards,</FONT></DIV>
<DIV><FONT face=Arial>Dr. Evgueny Tchekashkine</FONT></DIV>
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<DIV style="FONT: 10pt arial">----- Original Message ----- </DIV>
<DIV
style="BACKGROUND: #e4e4e4; FONT: 10pt arial; font-color: black"><B>From:</B>
<A title=pandeyrudra@gmail.com href="mailto:pandeyrudra@gmail.com">Rudra
Narayan Pandey</A> </DIV>
<DIV style="FONT: 10pt arial"><B>To:</B> <A title=ortho@weborto.net
href="mailto:ortho@weborto.net">Orthoforum webortho</A> </DIV>
<DIV style="FONT: 10pt arial"><B>Sent:</B> Saturday, October 15, 2011 11:14
AM</DIV>
<DIV style="FONT: 10pt arial"><B>Subject:</B> [Ortho] Bowing of tibia</DIV>
<DIV><BR></DIV>
<DIV dir=ltr><BR> <BR>Patient is a 4 years old male child with bowing of
the both legs. With inability to stand and walk properly.<BR> <BR>In the
past there is history of delayed mile stones.<BR> <BR>Serum calcium,
phosphorus and alkaline phosphatase are with in normal limits.<BR> <BR>X
rays attached.<BR>Please help with further management plan.<BR> <BR>Dr
rudra<BR>India<BR> <BR><BR> <BR>Sent From Dr Rudra's Windows Phone
!<BR> <BR><BR></DIV>
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