Congenital Pseudoarthrosis of Tibia - Viva Station

Congenital Pseudoarthrosis of tibia 

Recognize on X-ray  

Boyd calssification - Important 

Treatment
Before walking age clamshell orthosis to prevent fracture 
Initial surgical mx - mechanical alignment and intramedullay fixation 
Resection of the pseudarthrosis,
primary shortening, and supplemental bone grafting

Amputation for those with a history of multiple
failed surgical procedures, and stiffness and decreased
function of a limb that would be more useful after an amputation
and fitting with a prosthesis

Please give me suggestions , comments /feedback sothat  I can make more notes with interest.

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