Anterolateral Tibial Bowing
- 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:
- 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
Prophylactic bypass grafting and long-term bracing in the management of anterolateral bowing of the tibia and neurofibromatosis-1.
Original Text by Clifford R. Wheeless, III, MD.
Last updated by Data Trace Staff on Friday, June 1, 2012 8:20 am