CONGENITAL PSEUDARTHOSIS OF TIBIA OF A PAEDIATRIC PATIENT AND ITS MANAGEMENT: A CASE REPORT

Background: Congenital pseudarthrosis of the tibia (CPT) is a rare dysplastic condition with prevalence between 1:140,000and 1:250,000 of live births along with a variable presentation and unpredictable outcomes. It can be presented at birth orseen when the child start walking with features of recurrent fracture and limb discrepancy. CPT diagnosis is usually donewith the help of physical examination and radiological evaluation like X-rays. CPT itself associated with many difficultieslike loosening, breakage, osteopenia, re-fracture, valgus deformity and residual limb discrepancy. Various surgicaltechniques like intramedullary nailing along with bone grafting, vascularized bone transfers, external fixator, Ilizarovtechnique or cross union methods are described in literature for the management of CPT. Case Report: In this case report,we are highlighting the long course of treatment and surgical modalities used for the management of a paediatric patientdiagnosed with CPT. Conclusion: Management of a paediatric patient diagnosed with CPT is very challenging for patientand surgeon itself. Regular follow-up along with meticulous plan can help in saving the limb discrepancy and earlymobilisation of the patient.