{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T14:41:56Z","timestamp":1787755316174,"version":"build-2784847793"},"reference-count":25,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"1","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"abstract":"<jats:sec>\n                    <jats:title>Case:<\/jats:title>\n                    <jats:p>A 15-year-old girl presented with isolated anterolateral tibial bowing without fracture, an unusual manifestation. The deformity was initially corrected with a double-level osteotomy sparing the apex and intramedullary nail fixation. A second corrective procedure was performed for residual deformity, resulting in satisfactory alignment and union.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Congenital tibial pseudarthrosis most often progresses to fracture in early childhood, but this rare presentation without fracture highlights the variability of the condition. Successful correction was achieved through staged, apex-preserving, double-level osteotomies and intramedullary fixation, providing a potential strategy for atypical cases.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.2106\/jbjs.cc.25.00460","type":"journal-article","created":{"date-parts":[[2026,1,23]],"date-time":"2026-01-23T19:00:36Z","timestamp":1769194836000},"update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["Disease Progression Without Fracture in Anterolateral Tibial Curvature"],"prefix":"10.2106","volume":"16","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1232-4195","authenticated-orcid":false,"given":"Mehmet Kemal","family":"G\u00fcrsoy","sequence":"first","affiliation":[{"name":"Department of Orthopedics and Traumatology, Akdeniz University Hospital, Antalya, Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1620-1590","authenticated-orcid":false,"given":"Mehmet Serhan","family":"Er","sequence":"additional","affiliation":[{"name":"Department of Orthopedics and Traumatology, Akdeniz University Hospital, Antalya, Turkey"},{"name":"Orthopedics and Traumatology, Private Clinic, Antalya, Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2026,1]]},"reference":[{"issue":"1","key":"bib1-20260123","doi-asserted-by":"crossref","first-page":"30","DOI":"10.1016\/j.mporth.2012.11.001","article-title":"Tibial bowing in children","volume":"27","author":"Ferguson","year":"2013","journal-title":"Orthop Trauma."},{"issue":"6","key":"bib2-20260123","doi-asserted-by":"crossref","first-page":"541","DOI":"10.1097\/BPB.0000000000000524","article-title":"Current treatment of congenital pseudarthrosis of the tibia: a systematic review and meta-analysis","volume":"27","author":"Kesireddy","year":"2018","journal-title":"J Pediatr Orthop B."},{"issue":"6","key":"bib3-20260123","doi-asserted-by":"crossref","first-page":"e332","DOI":"10.1097\/BPO.0000000000001172","article-title":"What factors influence union and refracture of congenital pseudarthrosis of the tibia? A multicenter long-term study","volume":"38","author":"Shah","year":"2018","journal-title":"J Pediatr Orthop."},{"issue":"2","key":"bib4-20260123","doi-asserted-by":"crossref","first-page":"e0004","DOI":"10.2106\/JBJS.OA.19.00004","article-title":"Congenital pseudarthrosis of the tibia: results, at skeletal maturity, of the Charnley-Williams procedure","volume":"4","author":"Singer","year":"2019","journal-title":"JBJS Open Access."},{"issue":"6","key":"bib5-20260123","doi-asserted-by":"crossref","first-page":"539","DOI":"10.3109\/17453677208991276","article-title":"Congenital angulation of the lower leg and congenital pseudarthrosis of the tibia in Denmark","volume":"43","author":"Andersen","year":"1972","journal-title":"Acta Orthop Scand."},{"issue":"1","key":"bib6-20260123","doi-asserted-by":"crossref","first-page":"11","DOI":"10.1097\/01202412-200001000-00003","article-title":"Congenital pseudarthrosis of the tibia: history, etiology, classification, and epidemiologic data","volume":"9","author":"Hefti","year":"2000","journal-title":"J Pediatr Orthop B."},{"issue":"6","key":"bib7-20260123","doi-asserted-by":"crossref","first-page":"438","DOI":"10.1007\/s12178-022-09779-y","article-title":"Anterolateral tibial bowing and congenital pseudoarthrosis of the tibia: current concept review and future directions","volume":"15","author":"Siebert","year":"2022","journal-title":"Curr Rev Musculoskelet Med."},{"issue":"7","key":"bib8-20260123","doi-asserted-by":"crossref","first-page":"750","DOI":"10.1016\/j.otsr.2011.09.001","article-title":"Congenital pseudarthrosis of the tibia","volume":"97","author":"Pannier","year":"2011","journal-title":"Orthop Traumatol Surg Res."},{"issue":"8","key":"bib9-20260123","doi-asserted-by":"crossref","first-page":"1371","DOI":"10.2106\/00004623-195941080-00001","article-title":"Fragmentation, realignment, and intramedullary rod fixation of deformities of the long bones in children: a ten-year appraisal","volume":"41","author":"Sofield","year":"1959","journal-title":"J Bone Jt Surg."},{"issue":"2","key":"bib10-20260123","doi-asserted-by":"crossref","first-page":"94","DOI":"10.1097\/01202412-200004000-00004","article-title":"Functional results at the end of skeletal growth in 30 patients affected by congenital pseudoarthrosis of the tibia","volume":"9","author":"Tudisco","year":"2000","journal-title":"J Pediatr Orthop B."},{"issue":"23","key":"bib11-20260123","doi-asserted-by":"crossref","first-page":"2077","DOI":"10.2106\/JBJS.20.00657","article-title":"Distal tibial guided growth for anterolateral bowing of the tibia: fracture may be prevented","volume":"102","author":"Laine","year":"2020","journal-title":"J Bone Joint Surg Am."},{"issue":"6","key":"bib12-20260123","doi-asserted-by":"crossref","first-page":"1186","DOI":"10.2106\/00004623-200406000-00010","article-title":"Use of an intramedullary rod for treatment of congenital pseudarthrosis of the tibia. A long-term follow-up study","volume":"86","author":"Dobbs","year":"2004","journal-title":"J Bone Joint Surg Am."},{"issue":"11","key":"bib13-20260123","doi-asserted-by":"crossref","first-page":"1593","DOI":"10.2106\/00004623-199311000-00003","article-title":"Late-onset pseudarthrosis of the dysplastic tibia","volume":"75","author":"Roach","year":"1993","journal-title":"J Bone Joint Surg Am."},{"issue":"3","key":"bib14-20260123","doi-asserted-by":"crossref","first-page":"381","DOI":"10.1097\/01241398-199805000-00021","article-title":"Gait analysis and muscle strength in children with congenital pseudarthrosis of the tibia: the effect of treatment","volume":"18","author":"Karol","year":"1998","journal-title":"J Pediatr Orthop."},{"key":"bib15-20260123","doi-asserted-by":"crossref","first-page":"5","DOI":"10.1097\/00003086-198206000-00003","article-title":"Pathology and natural history of congenital pseudarthrosis of the tibia","volume":"166","author":"Boyd","year":"1982","journal-title":"Clin Orthop Relat Res."},{"issue":"10","key":"bib16-20260123","doi-asserted-by":"crossref","first-page":"2126","DOI":"10.2106\/JBJS.G.00272","article-title":"Prophylactic bypass grafting and long-term bracing in the management of anterolateral bowing of the tibia and Neurofibromatosis-1","volume":"90","author":"Ofluoglu","year":"2008","journal-title":"J Bone Joint Surg Am."},{"issue":"1","key":"bib17-20260123","doi-asserted-by":"crossref","first-page":"36","DOI":"10.1302\/0301-620X.33B1.36","article-title":"Pseudarthrosis of the tibia in childhood","volume":"33-B","author":"McFarland","year":"1951","journal-title":"J Bone Joint Surg Br."},{"issue":"2","key":"bib18-20260123","doi-asserted-by":"crossref","first-page":"75","DOI":"10.1097\/01202412-200004000-00002","article-title":"Treatment approaches for congenital pseudarthrosis of tibia: results of the EPOS multicenter study. European Paediatric Orthopaedic Society (EPOS)","volume":"9","author":"Grill","year":"2000","journal-title":"J Pediatr Orthop B."},{"issue":"6","key":"bib19-20260123","doi-asserted-by":"crossref","first-page":"757","DOI":"10.1097\/01241398-199111000-00011","article-title":"Prophylactic bypass grafting of the prepseudarthrotic tibia in neurofibromatosis","volume":"11","author":"Strong","year":"1991","journal-title":"J Pediatr Orthop."},{"key":"bib20-20260123","doi-asserted-by":"crossref","first-page":"25","DOI":"10.1016\/j.jor.2022.05.004","article-title":"Congenital segmental tibial dysplasia and late onset pseudarthrosis of the tibia","volume":"32","author":"El-Rosasy","year":"2022","journal-title":"J Orthop."},{"issue":"6","key":"bib21-20260123","first-page":"87","article-title":"Familial congenital bowing of the tibia with pseudarthrosis and pectus excavatum","volume":"11","author":"Beals","year":"1975","journal-title":"Birth Defects Orig Artic Ser."},{"issue":"2","key":"bib22-20260123","doi-asserted-by":"crossref","first-page":"226","DOI":"10.1302\/0301-620X.87B2.15132","article-title":"Pathomorphology and treatment of congenital anterolateral bowing of the tibia associated with duplication of the hallux","volume":"87","author":"Manner","year":"2005","journal-title":"J Bone Joint Surg Br."},{"issue":"2","key":"bib23-20260123","doi-asserted-by":"crossref","first-page":"314","DOI":"10.2106\/JBJS.H.00158","article-title":"The clamshell osteotomy: a new technique to correct complex diaphyseal malunions","volume":"91","author":"Russell","year":"2009","journal-title":"J Bone Joint Surg Am."},{"issue":"1","key":"bib24-20260123","doi-asserted-by":"crossref","first-page":"72","DOI":"10.1097\/01241398-198601000-00015","article-title":"Osseous manifestations of neurofibromatosis in childhood","volume":"6","author":"Crawford","year":"1986","journal-title":"J Pediatr Orthop."},{"key":"bib25-20260123","doi-asserted-by":"crossref","first-page":"16","DOI":"10.1097\/00003086-198908000-00004","article-title":"Congenital pseudarthrosis of the tibia: long-term Follow-Up study","volume":"245","author":"Crossett","year":"1989","journal-title":"Clin Orthop Relat Res."}],"container-title":["JBJS Case Connector"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.2106\/JBJS.CC.25.00460","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T13:41:04Z","timestamp":1787751664000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.2106\/JBJS.CC.25.00460"}},"subtitle":["A Case Report and Literature Review"],"short-title":[],"issued":{"date-parts":[[2026,1]]},"references-count":25,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2026]]}},"URL":"https:\/\/doi.org\/10.2106\/jbjs.cc.25.00460","relation":{},"ISSN":["2160-3251"],"issn-type":[{"value":"2160-3251","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,1]]}}}