Salvage of congenital pseudarthrosis of the tibia by the induced membrane technique followed by a motorised lengthening nail

Tristan Pollon (1) , Jérôme Sales de Gauzy (1) , Thuy Trang Pham (1) , Camille Thevenin Lemoine (1) , Franck Accadbled (1)

1 CHU Toulouse - Centre Hospitalier Universitaire de Toulouse

An 18-year-old male with neurofibromatosis type I was treated for congenital pseudarthrosis of the tibia using the Masquelet induced-membrane technique with internal fixation by retrograde implantation of a transplantar intramedullary nail. Bone healing was obtained at the expense of malunion with external rotation and 5.5cm of lower limb shortening. A motorised intramedullary-lengthening nail (Fitbone®, Wittenstein, Igersheim, Germany) was implanted. This treatment was successful in correcting the rotational malalignment and limb length discrepancy. The motorised nail Fitbone® may be a valid option for treating complex cases of limb length discrepancy, including those combined with limb deformities.

Mots clés: Congenital pseudarthrosis; Fitbone(®); Induced membrane technique; Limb length discrepancy; Masquelet technique; Neurofibromatosis; Tibia

Domaines: Chirurgie

Tristan Pollon, Jérôme Sales de Gauzy, Thuy Trang Pham, Camille Thevenin Lemoine, Franck Accadbled. Salvage of congenital pseudarthrosis of the tibia by the induced membrane technique followed by a motorised lengthening nail. Orthopaedics & Traumatology: Surgery & Research, 2018, 104 (1), pp.147-153. ⟨10.1016/j.otsr.2017.10.012⟩. ⟨hal-02135146⟩