Treatment approaches for congenital pseudarthrosis of tibia: Results of the EPOS Multicenter Study

Franz Grill*, Gerard Bollini, Pavel Dungl, John Fixsen, Fritz Hefti, Ernesto Ippolito, Bertil Romanus, Cosimo Tudisco, Shlomo Wientroub

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review


This study was designed to analyze the different therapeutic methods used by European Paediatric Orthopaedic Society members from 13 countries for congenital pseudarthrosis of tibia. The treatment data of 340 patients who underwent 1287 procedures for this condition were analyzed. The essential findings were that the method of choice needed to approach the biological problem with the aims of: (1) resecting the pseudarthrosis to provide stability, the basic requirement for bony consolidation; (2) correcting length discrepancy and axial deformity; (3) achieving fusion; and (4) solving the additional problems around the main deformity such as alignment, leg length discrepancy and ankle valgus. The Ilizarov technique emerged as being the optimal method, having the highest rate of fusion (75.5%) of pseudarthrosis and rate of success in correction of the additional deformities. There was also consensus that surgery should be avoided before the third year of life.

Original languageEnglish
Pages (from-to)75-89
Number of pages15
JournalJournal of Pediatric Orthopaedics Part B
Issue number2
StatePublished - Apr 2000


  • Analysis of treatment
  • Congenital pseudarthrosis of tibia
  • EPOS Multicenter Study


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