{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,29]],"date-time":"2026-04-29T21:33:35Z","timestamp":1777498415940,"version":"3.51.4"},"reference-count":36,"publisher":"SAGE Publications","issue":"2","license":[{"start":{"date-parts":[[2024,2,4]],"date-time":"2024-02-04T00:00:00Z","timestamp":1707004800000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"funder":[{"name":"Kiwani Club Klingenthal, Basel, Switzerland"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Journal of Children's Orthopaedics"],"published-print":{"date-parts":[[2024,4]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Congenital pseudarthrosis of the tibia is a limb deformity, which can be distressing for the affected patients and the pediatric orthopedic surgeons involved. We hypothesized that the modified McFarland procedure would avoid fractures and even have a corrective effect on the affected tibia in congenital pseudarthrosis of the tibia patients. Toward this end, we evaluated the midterm results of treating congenital pseudarthrosis of the tibia patients of Crawford Type I and II with allograft bypass combined with long-term bracing.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>This study retrospectively evaluated 7 patients with congenital pseudarthrosis of the tibia who were treated with allograft bypass combined with long-term bracing between 2009 and 2018. The median follow-up was 7.0\u2009years (range 3.8\u201310.0\u2009years). The medical records and radiographs were reviewed for demographic data, clinical characteristics, outcomes, and complications.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>At the time of the last follow-up, all allografts revealed complete consolidation in the patients\u2019 tibiae at both ends. All patients presented no functional restriction of the lower limbs and no amputation or non-union has occurred. Most of the obvious deformities of the tibia diaphysis or ankle joint were corrected. Two complications occurred that required successful revision surgery.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>In this series of seven congenital pseudarthrosis of the tibia patients, the allograft bypass technique showed satisfactory midterm results and validated our hypothesis. For congenital pseudarthrosis of the tibia patients of Crawford Type I and II, this procedure combined with long-term bracing, which involves the affected leg only, can delay or possibly prevent fractures, decrease tibial malalignment, and preserve leg length.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Level of evidence:<\/jats:title>\n                    <jats:p>level IV.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/18632521241228168","type":"journal-article","created":{"date-parts":[[2024,2,4]],"date-time":"2024-02-04T22:21:30Z","timestamp":1707085290000},"page":"187-199","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":3,"title":["Preventing of nonunion in congenital pseudarthrosis of the tibia cases of Crawford Type I and II through the use of allograft bypass and a brace: Midterm findings"],"prefix":"10.1177","volume":"18","author":[{"given":"Chao","family":"Dong","sequence":"first","affiliation":[{"name":"Pediatric Orthopedic Department, University Children\u2019s Hospital Basel (UKBB), Basel, Switzerland"},{"name":"University of Basel, Basel, Switzerland"},{"name":"Department of Joint Surgery, Beijing Shijitan Hospital, Capital Medical University, Beijing, P.R. China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Chengxiang","family":"Li","sequence":"additional","affiliation":[{"name":"Pediatric Orthopedic Department, University Children\u2019s Hospital Basel (UKBB), Basel, Switzerland"},{"name":"University of Basel, Basel, Switzerland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ute","family":"Br\u00fcckner","sequence":"additional","affiliation":[{"name":"Pediatric Orthopedic Department, University Children\u2019s Hospital Basel (UKBB), Basel, Switzerland"},{"name":"Department of Pediatric Surgery, St. Elisabethen Hospital, L\u00f6rrach, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hermann","family":"Hellmich","sequence":"additional","affiliation":[{"name":"Pediatric Orthopedic Department, University Children\u2019s Hospital Basel (UKBB), Basel, Switzerland"},{"name":"Department of Pediatric Surgery, St. Elisabethen Hospital, L\u00f6rrach, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6008-5657","authenticated-orcid":false,"given":"Andreas H","family":"Krieg","sequence":"additional","affiliation":[{"name":"Pediatric Orthopedic Department, University Children\u2019s Hospital Basel (UKBB), Basel, Switzerland"},{"name":"University of Basel, Basel, Switzerland"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2024,2,4]]},"reference":[{"key":"bibr1-18632521241228168","doi-asserted-by":"publisher","DOI":"10.5435\/00124635-200804000-00006"},{"key":"bibr2-18632521241228168","doi-asserted-by":"publisher","DOI":"10.1007\/s12178-022-09779-y"},{"key":"bibr3-18632521241228168","doi-asserted-by":"publisher","DOI":"10.1007\/978-3-662-46810-4"},{"key":"bibr4-18632521241228168","doi-asserted-by":"publisher","DOI":"10.2106\/JBJS.G.00272"},{"key":"bibr5-18632521241228168","doi-asserted-by":"publisher","DOI":"10.2106\/JBJS.20.00657"},{"key":"bibr6-18632521241228168","doi-asserted-by":"publisher","DOI":"10.1007\/s11832-013-0499-2"},{"issue":"4","key":"bibr7-18632521241228168","first-page":"413","volume":"23","author":"McElvenny RT.","year":"1949","journal-title":"Q Bull Northwest Univ Med 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