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  • Title: [The surgical treatment of pseudoarthroses and congenital curvatures of the leg. Review of the literature on the basis of 7 personal cases (author's transl)].
    Author: Lerat JL, Lecuire F, Berard J, Rebouillat J.
    Journal: Chir Pediatr; 1980; 21(1):77-88. PubMed ID: 6996858.
    Abstract:
    On the basis of 7 personal cases of pseudarthrosis and of congenital curvature of the leg reported in detail, including 6 in which consolidation was obtained with a valid follow up (5 cases for more than 14 years), a review is undertaken of the results of surgical techniques. Analysis of these 7 cases and of 82 sufficiently detailed cases from the literature indicate that the transtarsal nailing suggested by Guillemin, combined with corticospongiose grafts, remains the technique of choice. A number of suggestions are made on particular technical points. This method results in consolidation and above all offers the best protection against recurrent fractures whilst retaining a good axis and without interfering with growth. It is the method which limits to a minimum the sequelae of shortening and valgus deformity of the ankle. Indications differ for curvatures and constituted pseudarthroses and the age at which treatment should be started is discussed.
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