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Developmental Dislocation of the Hip (DDH)

A rue congenital dislocation of the hip refers to dislocation of the hip that occurs before birth. This is also referred to as teratologic dislocation of the hip.

Congenitial Pseudarthosis of the Tibia

Congenital pseudarthosis of the tibia is a condition in which the tibia develops a fracture that does not heal. This is probably a disease of the periosteum (the tissue covering the bone). The periosteum essentially strangles the underlying bone leading it to become thinner and also fracture. Over half of reported cases have neurofibromatosis. The rest are idiopathic (no known cause) or related to fibrous dysplasia. We treat this with pharmacologic treatment using biphosphonates to prevent bone absorption by the osteoclast cells, as well as surgery to fix the bone with a rod and bone as well as periosteal graft and external fixator.

Book Chapter: Congenital Pseudarthrosis of the Tibia: Combined Pharmacologic and Surgical Treatment Using Biphosphonate Intravenous Infusion and Bone Morphogenic Protein with Periosteal and Cancellous Autogenous Bone Grafting, Tibio-Fibular Cross Union, Intramedullary

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