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Official Journal of the Italian Society of Orthopaedics and Traumatology

Fig. 2 | Journal of Orthopaedics and Traumatology

Fig. 2

From: Functional and radiological outcomes after treatment of congenital pseudarthrosis of the tibia using the Ilizarov technique: a retrospective single-center study

Fig. 2

A Preoperative AP and lateral X-rays of a 7-year-old male who had undergone multiple previous surgeries for CPT since he was 1.5 years old, and had ended up with persistent CPT, posterior subluxation of the knee, genu recurvatum, and a very narrow, pencil-shaped tibia. B AP and lateral postoperative X-rays showing a trial correction of knee subluxation using a cross-knee Ilizarov frame, excision of the CPT, and compensation by proximal corticotomy. Note the relative widening of the end of the proximal tibia compared to the preoperative size. C Four months’ follow-up AP and lateral X-rays showing 6 cm distraction with a good regenerate. D AP and lateral X-rays taken immediately following fixator removal after full union with added transcalcaneal intramedullary K-wire for protection of the union. E 1.5 years’ follow-up AP and lateral X-rays showing complete union and consolidation of both the docking site and the regenerate, with widened tibia at the docking site and replacement of the K-wire by an IM titanium rod. F Two years' follow-up AP and lateral X-rays after changing the IM rod. G Clinical photograph taken at 2 years’ follow-up, showing 10 cm shortening of the affected limb

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