Orthosis for children with congenital tibia pseudarthrosis I

Abstract 

Congenital pseudarthrosis of the tibia is a bone disease being difficult to treat.Many methods of treatment have little effect. Patient's pelvis and torso canmaintain the balance after wearing orthosis.It will avoid a lot of complications, and help the patient standing and walking.

Key words 

Congenital pseudarthrosis of the tibia;orthosis

Congenital pseudarthrosis of the tibia is one of rarest deformity and difficult to treat, and its incidence is about 1: 19000. [1] few children appear pseudarthrosis of the tibia at birth, but most children born without obvious deformity or with only the lower tibia bending forward.The diagnosis is usually determined along with the pain caused by fracture. Fracture is unhealed for a long time, partial pseudarthrosisoccurs in angulation deformity. [2]

No ideal treatment is for congenital pseudarthrosis of the tibia.Repeated surgery stillcan not be cured in the progress of treatment, that may result in lower limb being shortened or disabled , and even in amputation. [2] Surgery is based on yearly treatment.The younger the patient is ,the higher failure rate is. Once the patients wear orthosis, and regular follow-up is necessary. [3].

First,Case Analysis

Children with Surname of An, female, was born August 11, 1995, has the deformity of proximal leg during walking.In 2002 she was diagnosed with congenital proximalpseudarthrosis of the tibia and fibula, her lower limb was shortened after surgery(Fig. 1). In 2004, she came to MEDI-REHATEK Rehab Center to check.Bilateral lower limb was measured with unequal length, the length difference is 5cm.knee is normal where pseudoarthrosis is located below 3cm.Spine are normal. 

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