{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,31]],"date-time":"2026-01-31T04:06:07Z","timestamp":1769832367131,"version":"3.49.0"},"reference-count":15,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2022,2,8]],"date-time":"2022-02-08T00:00:00Z","timestamp":1644278400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Microsurgery"],"published-print":{"date-parts":[[2022,5]]},"abstract":"Abstract<\/jats:title>Introduction<\/jats:title>Congenital pseudarthrosis of the tibia (CPT) is one of the most challenging orthopedic disorders. The use of a vascularized tibial periosteal grafts has been recently reported as a powerful tool to obtain bone union. We report its use in CPT.<\/jats:p><\/jats:sec>Patients and Methods<\/jats:title>Retrospective short\u2010term study of 29 children (18 male\/11 female, 15 right\u2010sided\/14 left\u2010sided) of mean age 45\u2009months (range 11\u2013144\u2009months), operated upon after October 2014.<\/jats:p>Nonunion site was debrided, and the periosteum of the involved limb was excised. A vascularized tibial periosteal graft (mean length 10.7\u00a0cm (range 9\u201315\u2009cm) with a monitoring skin island (mean length 4.1\u00a0cm (range 3\u20135\u00a0cm) and based on the anterior tibial vessels, was obtained from the contralateral tibia. Anterior tibial vessels were always the recipient vessels. Most cases were stabilized with an LCP plate.<\/jats:p>The rate of and time to bone union were analyzed. Charts only were evaluated through the first 3\u2009months after bone union was achieved.<\/jats:p><\/jats:sec>Results<\/jats:title>The flap survived and bone union was obtained in all cases, through a periosteal callus, in a mean time of 5.1\u2009weeks (range 3\u20136\u2009weeks). Mean follow\u2010up was 8.3\u00a0months (range 7\u201319\u2009months). No union failures occurred 3\u2009months after resuming unprotected weight bearing.<\/jats:p><\/jats:sec>Conclusions<\/jats:title>Our novel technique produced a consistent, rapid capacity for CPT union, superior to previously\u2010reported techniques. However, it cannot be recommended as a standard method of treatment until consistent, long\u2010term, refracture\u2010free follow\u2010up is documented.<\/jats:p><\/jats:sec>","DOI":"10.1002\/micr.30868","type":"journal-article","created":{"date-parts":[[2022,2,9]],"date-time":"2022-02-09T07:47:57Z","timestamp":1644392877000},"page":"326-332","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":11,"title":["Congenital pseudarthrosis of the tibia: Rate of and time to bone union following contralateral vascularized periosteal tibial graft transplantation"],"prefix":"10.1002","volume":"42","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1759-9868","authenticated-orcid":false,"given":"Francisco","family":"Soldado","sequence":"first","affiliation":[{"name":"Pediatric Hand Surgery and MicrosurgeryBarcelona Children's Hospital HM Nens, HM Hospitales Barcelona Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6820-3494","authenticated-orcid":false,"given":"Sergi","family":"Barrera\u2010Ochoa","sequence":"additional","affiliation":[{"name":"Hand Surgery Unit ICATME, Centre Medic Quiron Deixeus Barcelona Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Pablo","family":"Romero\u2010Larrauri","sequence":"additional","affiliation":[{"name":"Pediatric Orthopedic Surgery Service Clinica San Juan de Dios Lima Peru"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Trong\u2010Quynh","family":"Nguyen","sequence":"additional","affiliation":[{"name":"Pediatric Orthopedic Unit Saint Paul Hospital Hanoi Vietnam"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Paula","family":"Diaz\u2010Gallardo","sequence":"additional","affiliation":[{"name":"Pediatric Orthopedic Surgery Unit Hospital Sant Pau Barcelona Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ernesto","family":"Guerra","sequence":"additional","affiliation":[{"name":"Complex Orthopedics Reconstruction Unit Hospital Teknon Barcelona Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jorge","family":"Kn\u00f6rr","sequence":"additional","affiliation":[{"name":"Pediatric Hand Surgery and MicrosurgeryBarcelona Children's Hospital HM Nens, HM Hospitales Barcelona Spain"},{"name":"Pediatric Orthopedic Surgery Unit Hospital Sant Pau Barcelona Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2022,2,8]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1002\/micr.30233"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.2106\/JBJS.H.00014"},{"issue":"2","key":"e_1_2_8_4_1","first-page":"163","article-title":"On the cure of the congenital pseudoarthrosis of the tibia by means of periosteal transplantation","volume":"1","author":"Codivilla A.","year":"1906","journal-title":"Journal of Bone and Joint Surgery. 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