Congenital Pseudarthrosis of the Tibia

Three patients with congenital pseudarthrosis of the tibia were successfully treated by free microvascularized iliac crest grafts. All three patients had had two unsuccessful internal fixation reconstruction operations. Union occurred rapidly between the resected bone ends and the vascularized bone graft. Although the fibula has more often been used as a vascularized free graft, the ilium is a better source of bone for bridging small gaps.