الفهرس | Only 14 pages are availabe for public view |
Abstract Vascularized fibular transfer is excellent option for CPT. • Stabilizing the distal tibiofibular of the donor side helps to reduce valgus deformity of the ankle. • Age is not a limitation in treatment of CPT with free bone transfer. • Sex, previous surgeries and type of pseudoarthrosis do not affect the results of treatment with vascularized fibula for CPT. • The earlier the treatment starts the earlier the union and weight bearing occurs. • Intramedullary wire is good tool to fix the fibular graft. • Retrograde wire is easier but an antigrade wire has less drawbacks. • Telescoping fibula is a good solution in case of shortening. • Treatment of concomitant pseudoarthrosis of the fibula is as essential as the tibia. • Pedicled periosteal flap for the fibular pseudoarthrosis could be a good solution. • The best results are achieved when tibia and fibula are both healed. • Even with primary union, none is immune against refracture. • Not all refractures means recurrence. • Cast could treat simple refractures. • ORIF can be used for resistant refractures. • Patients with CPT should be observed until maturity is reached. |