Combined massive allograft and intramedullary vascularized fibula transfer: the Capanna technique for treatment of congenital pseudarthrosis of the tibia

摘要

Background and purpose — Congenital pseudarthro-sis of the tibia (CPT) is caused by local periosteal diseasethat can lead to bowing, fracturing, and pseudarthrosis. Cur-rent most successful treatment methods are segmental bonetransport and vascularized and non-vascularized bone graft-ing. These methods are commonly hampered by discom-fort, reoperations, and long-term complications. We reporta combination of a vascularized fibula graft and large bonesegment allograft, to improve patient comfort with similaroutcomes.