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KMID : 0361619720070010125
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Journal of the Korean Orthopaedic Association
1972 Volume.7 No. 1 p.125 ~ p.130
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Congential Pseundarthrosis of the tibia
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劉明哲/You, Myung-Chul
李殷龍/金永珉/石世一/韓文植/Lee, Eun-Young/Kim, Young-Min/Suk, Se-Il/Han, Moon-Sik
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Abstract
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Three cases of congenital pseudarthrosis of the tibia were treated at Department of Orthopedic Surgery, Seoul national University Hospital during last four years. In all cases,many Cafe-au-lait spots and subcutaneous nodules were shown on the whole body skin, which are suggestive of neurofibromatosis.
Case 1, A thirteen years old boy was treated with plate and screw fixation with massive iliac-cancellous and cortical graft. In a follow-up of three and one half years, solid bony union has been obtained with successful result.
Case 2, A 5 years old boy was treated with Boyd´s dual cortical graft with plate and screw fixation.In a follow-up to eight months, bony union were satisfactory.
Case 3, A six months old boy who is young brother of case 2, was treated with Charnley´s. intramedullary nailing and iliac cancellous and cortical graft.
The patient is still in the long leg cast, six months postoperatively.
The evidence of familial and hereditary factor in pedigree is elicited on case 2 and 3. This congenital pseudarthrosis of the tibia in the sibling is regared as the first report in Korean literature.
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