Congenital Pseudarthrosis Of The Tibia Specialist

David S. Feldman, MD

Orthopedic Specialist located in West Palm Beach, FL

A rare condition, congenital pseudarthrosis of the tibia affects the bone on the inner portion of your lower leg. Treating this condition is an area of specialty for world-renowned surgeon David S. Feldman, MD, and his team at The Paley Orthopedic and Spine Institute in West Palm Beach, Florida. If you or a loved one is struggling with congenital pseudarthrosis of the tibia, call to book a consultation with Dr. Feldman. Patients come from all over the world for his surgical expertise. Online scheduling is also available, and takes just moments.

Congenital Pseudarthrosis of the Tibia Q & A

What is congenital pseudarthrosis of the tibia?

The lower portion of your leg has two bones, and your tibia is the one that runs along the inside, from the ankle to the knee. Pseudarthrosis occurs when this bone fractures or bends and doesn’t heal properly on its own. Congenital pseudarthrosis of the tibia is diagnosed when this type of fracture or abnormality is present at birth. 

While the exact causes of congenital pseudarthrosis are not known, most kids who have the condition also suffer from neurofibromatosis Type 1, a genetic disorder that leads to tumors on your nerve tissue. Some researchers believe congenital pseudarthrosis of the tibia occurs due to a lack of blood supply to the outer layer of bone tissue after a fracture. 

How is congenital pseudarthrosis of the tibia diagnosed?

Most cases are diagnosed in the first year of a child’s life, but the condition can sometimes go unnoticed until the onset of puberty. Congenital pseudarthrosis can be diagnosed with X-ray imaging, as the condition presents very specific abnormalities in the tibia. 

Neurofibromatosis Type 1 can be diagnosed using a genetic blood test, which can be performed as part of a mother’s prenatal care. Many children born with this condition show dark birthmark-like spots on their skin.  

What are the treatment options for congenital pseudarthrosis of the tibia?

In decades past, treating this condition was incredibly challenging. Kids often underwent multiple procedures to try and improve function in the affected leg. As a result, amputation was offered to the families of these children. 

Today, skilled surgeons like Dr. Feldman approach congenital pseudarthrosis of the tibia with a multifaceted approach. Zoledronic acid is administered intravenously before a surgical procedure to excise damaged tissue. The edges of the bone are prepared to accept a bone graft from your pelvis.

This graft sits between the tibia and fibula, and a plate and rod hold the tissue in place for around six months as the tibia heals. Many who undergo this procedure achieve complete healing of the tibia, as well as improved ankle function and mobility. 

Learn more about this and other treatment options during your one-on-one consultation with Dr. Feldman, which can be booked online or over the phone.