Congenital Pseudarthrosis of the tibia (CPT) is a rare disorder in which a child is born with a specific bowing of the tibia (anterolateral) and/or a break of the tibia at birth. I firmly believe that every limb with this disorder can be treated, healed and not re-fracture by utilizing a Cross Union Technique. As a result, this condition should never undergo amputation. During the over twenty years I have been in practice, I have seen this condition evolve from one with a nearly 30-40% amputation rate to now where amputation should be a never occurrence.
Utilizing pre-surgical Zolendronic Acid intravenously, combined with a surgery that includes: excising all the tissue causing the non-healing bone, freshening the bone edges, placing a very large bone graft from the patient’s pelvis (a unique and difficult procedure) between the tibia and fibula, utilizing Bone Morphogenic protein, a periosteal graft from the pelvic lining combined with a growing rod in the bone and a plate to hold it for 6 months. All of this has allowed for complete healing of the tibia in this population. The surgery also allows the ankle to move and preserves the ankle function.