Abstract
With rare exceptions, pseudoarthroses are accompanied by the loss of bone tissue, i.e., by an anatomic defect. However, from a practical point of view, a clear definition of both “pseudoarthrosis” and “defect” is of fundamental importance in the correct selection of the extent and tactics of both treatment and rehabilitation measures. A pseudoarthrosis refers to the condition in which it is anticipated that despite medical interventions the achieved degree of union of the bone fragments will not lead to humeral shortening by >8–10 mm, or shortening of one of the forearm bones by >5 mm, or of the femur and leg bones by >10–15 mm.
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References
Shevtsov VI, Nemkov VA, Sklyar LV (1995) Ilizarov apparatus. Biomechanics. Periodika, Kurgan
Reutov AI (2002) Comparative characteristics of mono and bilocal distraction osteosynthesis by Ilizarov. Ginij ortopedii 3: 108–105
Shevtsov VI, Makushin BD, Pozharishchensky KE (1994) The treatment of patients with tibial defects by the method of reconstructive tibialization of the fibula. Periodika, Kurgan
Shevtsov VI, Makushin VD, Kuftyrev LM (2001) Pseudoarthrosis, long bone defects of the upper extremities and elbow contractures. Zaural’e, Kurgan
Ilizarov GA, Makushin VD, Kuftyrev LM (1975) Bloodless treatment of femur pseudoarthrosis (method guidelines). RSC “RTO”, Kurgan, 1975
Golyakchovski V, Frenkel V (1999) A guide throughout Ilizarov device external fixation. BINOM, Moscow
Pilnacek J (1998) The role of osteotomies in the healing of nonunions. In: Proceedings of the 3rd European traumatology congress, Amsterdam, 1998
Paltrinieri M (1961) Osteotomia nel trattamento dei ritardi di consolidazione e delle pseudoartrosi di tibia. Atti e Mem SOTIMI 6:11–12
Umiarov (1986)
Bertani B (2006) Treatment of noninfected nonunions. Parafocal. In: Mora R (ed) Nonunion of the long bones. Springer, New York, pp 189–197
Gyulnazarova SV, Shtin BP (1992) The treatment of pseudoarthrosis. The theory and practice of the distraction method. Ural University Press, Ekaterinburg
Makushin VD (1987) Treatment of tibial defects with Ilizarov device. MD thesis, Perm
Shevtsov BI, Makushin VD, Kuftyrev LM (1996) Defects of lower extremity bones. External fixation using the methods of the Russian Research Center RSC “RTO”, Kurgan, 1996
Borzunov DU (1999) Tibial defect reduction by fragment lengthening with formation of additional regeneration zones. PhD thesis, Kurgan
Paterson DC (1989) Congenital pseudarthrosis of the tibia. An overview. Clin Orthop 247:44–54
Ulitski GI (1965) Surgical mistakes in treatment of congenital tibial pseudoarthrosis. In: Proceedings of I congress of Belorussian traumotologists, Minsk, 1965, pp 349–351
Maisuradze RG (1981) Treatment of congenital tibial non-unions in children and teenagers. In: Proceedings of CITO 23. CITO, Moscow, 1981
Angus et al (1972)
Andersen KS (1972) Congenital angulation of the lower leg and congenital pseudarthrosis of the tibia in Denmark. Acta Orthop Scand 43:539–549
Gracheva VI (1972) Treatment of congenital pseudoarthroses of lower limb using Ilizarov method. PhD thesis, Cheljabinsk
Blanth and Falliner (1989)
Guilleminet M (1953) Congenital pseudarthrosis of the tibia. Rev Chir Orthop 39:690–700
Henderson MS (1928) Congenital pseudarthrosis of the tibia. J Bone Joint Surg 10-A:483–491
Andrianov VL, Pozdeev AP (1986) Congenital lower leg non-unions in children. Meditsina, Leningrad
Wilson (1941)
McFarland (1940)
Boyd HB (1982) Pathology and natural history of congenital pseudarthrosis of the tibia. Clin Orthop 166:5–13
Seewald K (1962) Zur localization und Behandlung der angeborenen Schienbeinpseudarthrose. Z Orthop Grenzgeb 96:42–45
McKellar CC (1973) Pseudarthrosis of the tibia-treatment by tibial lengthening and corrective osteotomy seven years after successful bone graft. A case report. J Bone Joint Surg 55-A(1):193–196
Andersen KS (1974) Operative treatment of congenital pseudarthrosis of the tibia. Acta Orthop Scand 45:935–944
Gilbert (1982)
Hagan KE, Buncke HJ (1982) Treatment of congenital pseudarthrosis of the tibia with free vascularized bone graft. Clin Orthop 166:34–44
Murray HH, Lovell WW (1982) Pseudarthrosis of the tibia. A long-term follow-up study. Clin Orthop 166:14–20
Anticevic et al (2006)
Fabeck L et al (2006) Bone morphogenetic protein 7 in the treatment of congenital pseudarthrosis of the tibia. J Bone Joint Surg 88-B:116–118
Кujala et al (2008)
Vander Have et al (2008)
Ito et al (2000)
Okada K et al (2003) Congenital pseudoarthrosis of the tibia treated with low-intensity pulsed ultrasound stimulation (LIPUS). Ultrasound Med Biol 29:1061–1064
Schatz KD, Nehrer S, Dorotka R, Kotz R (2002) D-navigated high energy shockwave therapy and axis correction after failed distraction treatment of congenital tibial pseudarthrosis. Orthopade 3:663–666
Thabet et al (2008)
El-Gammal TA, El-Sayed A, Kotb MM (2004) Telescoping vascularized fibular graft; a new method for treatment of congenital tibial pseudoarthrosis with severe shortening. J Pediatr Orthop 13:48–56
Alexandrov AV et al (2007) Treatment of congenital non-unions by a way of free grafting of vascular bone autografts in children. In: Proceedings of Russian orthopedic conference on children, St. Petersburg, 2007, pp 297–298
Mateev M, Imanaliev A (2007) Two stage reconstruction of congenital non-unions of fore arm and lower leg with the use of Ilizarov device and vascular fibular graft. In: Proceedings of the international conference on congenital diseases, Kurgan, 2007, pp 124–125
Toh et al (2001)
Cho NJ et al (2007) Proximal tibial lengthening by distraction osteogenesis in congenital pseudarthrosis of the tibia. J Pediatr Orthop 27(8):915–920
Pozdeev AP (2007) Congenital non-unions of lower leg in children. In: Proceedings of Russian conference on the treatment of people with congenital defects. RSC “RTO”, Kurgan, 2007
Orlovskiy NB, Orlovskiy MN (2007) Treatment of congenital non-unions in children. Travmatologia i ortopedia 1:96–100
Sakamoto et al (2008)
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Solomin, L.N., Borzunov, D.J., Mora, R., Shevtsov, V.I., Pedrotti, L. (2012). Non-unions, Pseudoarthroses, and Long-Bone Defects. In: Solomin, L. (eds) The Basic Principles of External Skeletal Fixation Using the Ilizarov and Other Devices. Springer, Milano. https://doi.org/10.1007/978-88-470-2619-3_19
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