- Discussion:
- condition is a part of the spectrum of the
bowing-pseudarthrosis disorder seen in
neurofibromatosis;
- tibial pseudarthrosis may be present at birth, or it may present later on following a frx from an anterolaterally bowed tibia;
- this disorder should not be confused w/
posteromedial tibial bowing:
- Radiographs:
- Treatment:
- early application of a total contact orthosis (patellar bearing);
- in infant & younger child, orthosis should include knee & ankle;
- in older child, a high ankle-foot orthosis is sufficient;
- prophylactic grafting in absence of fracture is controversial;
- corrective osteotomy is contraindicated since it can lead to
pseudarthrosis;
