Congenital Pseudarthrosis Tibia (El-Rosasy – Paley Type 3)

Congenital pseudarthrosis of the tibia (CPT)Congenital pseudarthrosis of the tibia (CPT) type 3 (after El-Rosasy-Paley classification of CPTEl-Rosasy – Paley classification of CPT) has the best prognosis. In this type the bone ends are wide and the pseudarthrosis is not mobile and with/without past history of surgical interference (El-Rosasy et al., Congenital pseudarthrosis of the tibia. In: Rozbruch SR, Ilizarov S (eds) Limb lengthening and reconstruction surgery. Informa Healthcare Publisher, New York/London, pp 485–493, 2007). Closed distraction of this type of CPT leads to stimulation of new bone formation across the distraction gap, along the lines of distraction, and consolidation of the pseudarthrosis.