Amniotic Band Syndrome Presenting with Pseudoarthrosis of the Tibia

Case: A 3-year-old female patient presented with pseudoarthrosis of the tibia secondary to amniotic band syndrome (ABS). Before presenting to our institution, the patient underwent a band release without improvement of the deformity. She was subsequently treated using a cross-union technique of the tibia and fibula synostosis. Radiographs taken 2 years postoperatively demonstrated complete union of the tibia and fibula and no refracture. Conclusion: This case demonstrates successful surgical intervention to treat ABS-related pseudoarthrosis. In cases where the deformity persists despite band release, the cross-union technique may be useful to consider.