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Fig. 3 | BMC Musculoskeletal Disorders

Fig. 3

From: Efficacy of the “Eiffel tower” double titanium elastic nailing in combined management of congenital pseudarthrosis of the tibia: preliminary outcomes of 17 cases with review of literature

Fig. 3

Case 12, a 2.5-year-old boy with CPT treated successfully with pseudarthrosis resection, the “Eiffel Tower” double TENs, bone grafting and external fixation. Pre-operative anteroposterior X-rays showing Crawford type III CPT with anterolateral bowing of tibia (a). Anteroposterior and lateral radiograph of the same patient taken immediately after combined surgery (b, c). X-ray taken 3 months post-operatively shows primary union of the pseudarthrosis site (d). Radiograph taken 6 months post-operatively shows a well-aligned and remodeled tibia without ankle valgus or tibia angulation (e). The nails were retained in the tibia medullary cavity with growth (f). Clinical appearance of the patient before (g, h) and after (i, j, k) the surgery. The patient had an AOFAS score of 82 and a 20 mm leg-length shortening at the finally follow-up

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