{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,5,27]],"date-time":"2025-05-27T04:18:24Z","timestamp":1748319504880,"version":"3.41.0"},"reference-count":23,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"2","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2022,3]]},"abstract":"<jats:p>Constriction band syndrome (CBS) may be rarely associated with pseudarthrosis of tibia. Published literature includes only case reports. We evaluated the outcome of children with frank pseudarthrosis of the tibia with CBS and compared our results with other reported cases. We aimed to formulate a clinical classification of tibial involvement in CBS on the basis of the treatment guidelines. Seven patients with the presence of one or more constriction bands and radiological signs of tibial pseudarthrosis were included in the study. Eight reported cases of CBS with tibial involvement with management and follow-up details were reviewed. Only two tibial pseudarthrosis united spontaneously after the release of the constriction band. Two patients underwent simultaneous correction of tibial deformity and nailing with band release, one of which needed bone grafting for the pseudarthrosis union. Three patients subsequently needed an excision of tibial pseudarthrosis with nailing to achieve tibial union, two of them had autologous bone grafting along with nailing. Additional procedures were required for the correction of foot deformity and limb length discrepancy. Our findings were similar to the reported cases. The pseudarthrosis of the tibia with CBS does not always heal following band release. Additional surgeries may be required for persistent pseudarthrosis, limb length discrepancy and residual foot deformities. A functional and radiological classification is proposed for the treatment of tibial pseudarthrosis with CBS.<\/jats:p>","DOI":"10.1097\/bpb.0000000000000856","type":"journal-article","created":{"date-parts":[[2021,2,27]],"date-time":"2021-02-27T05:57:35Z","timestamp":1614405455000},"page":"150-159","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":1,"title":["The spectrum of tibial pseudarthrosis with constriction band syndrome in children"],"prefix":"10.1097","volume":"31","author":[{"given":"Premal","family":"Naik","sequence":"first","affiliation":[{"name":"Rainbow Superspeciality Hospital and Children\u2019s Orthopaedic Centre, Honorary Paediatric Orthopaedic Surgeon, Department of Orthopaedics, NHL Municipal Medical College, Ahmedabad, Gujarat"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hitesh","family":"Shah","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics, Paediatric Orthopaedics services, Kasturba Medical College, Manipal Academy of Higher Education, Manipal"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Parmanand","family":"Gupta","sequence":"additional","affiliation":[{"name":"Government Medical College Hospital, Chandigarh, India"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"276","published-online":{"date-parts":[[2021,7,8]]},"reference":[{"issue":"Suppl 4","key":"R1-20250526","doi-asserted-by":"crossref","first-page":"68","DOI":"10.2106\/JBJS.I.00339","article-title":"Amniotic constriction band: a multidisciplinary assessment of etiology and clinical presentation.","volume":"91","author":"Goldfarb","year":"2009","journal-title":"J Bone Jt Surgery-American"},{"key":"R2-20250526","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1016\/S0007-1226(61)80002-7","article-title":"Congenital ring-constrictions.","volume":"14","author":"Patterson","year":"1961","journal-title":"Br J Plast Surg"},{"key":"R3-20250526","doi-asserted-by":"crossref","first-page":"461","DOI":"10.1097\/01241398-198807000-00016","article-title":"Congenital constriction band syndrome.","volume":"8","author":"Askins","year":"1988","journal-title":"J Pediatr Orthop"},{"key":"R4-20250526","doi-asserted-by":"crossref","first-page":"270","DOI":"10.1016\/0007-1226(88)90111-7","article-title":"Congenital ring-constriction syndrome of the limbs; a report of 19 cases.","volume":"41","author":"Rossillon","year":"1988","journal-title":"Br J Plast Surg"},{"key":"R5-20250526","doi-asserted-by":"crossref","first-page":"218","DOI":"10.1097\/01241398-198703000-00023","article-title":"Congenital annular constricting bands.","volume":"7","author":"Bourne","year":"1987","journal-title":"J Pediatr Orthop"},{"key":"R6-20250526","first-page":"275","article-title":"Congenital constriction band with pseudoarthrosis of the tibia: a case report and literature review.","volume":"73","author":"Magee","year":"2007","journal-title":"Acta Orthop Belg"},{"key":"R7-20250526","doi-asserted-by":"crossref","first-page":"955","DOI":"10.1016\/j.otsr.2016.07.008","article-title":"Neonatal leg fracture and constriction ring syndrome: a case report and literature review.","volume":"102","author":"Masmoudi","year":"2016","journal-title":"Orthop Traumatol Surg Res"},{"key":"R8-20250526","first-page":"e4189","article-title":"Strangling congenital constriction ring band of the forearm with fracture: a rare case report.","volume":"11","author":"Angelis","year":"2019","journal-title":"Cureus"},{"key":"R9-20250526","doi-asserted-by":"crossref","first-page":"1121","DOI":"10.1053\/j.jfas.2017.04.023","article-title":"RETRACTED: amniotic band syndrome with pseudoarthrosis of tibia and fibula: a case report.","volume":"56","author":"Ananthan","year":"2017","journal-title":"J Foot Ankle Surg"},{"key":"R10-20250526","doi-asserted-by":"crossref","first-page":"410","DOI":"10.2106\/00004623-198365030-00024","article-title":"Congenital band causing pseudarthrosis and impending gangrene of the leg. 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