Free vascularized fibular bone grafts were used in nineteen children,
seen consecutively, who had congenital pseudarthrosis of the tibia. The
average age was 5.1 years (range, 1.4 to 11.4 years). Sixteen of the
patients had been treated with electrical stimulation for at least one
year, and the tibia had not united. All but four patients had had at least
one previous operative procedure. At an average follow-up of 6.3 years
(range, 2.0 to 11.0 years), eighteen (95 per cent) of the nineteen
pseudarthroses had healed. The leg-length discrepancy averaged 1.6
centimeters (range, 0 to 4.0 centimeters), but ten tibiae had residual or
progressive valgus or anteroposterior malalignment despite bracing. There
was minimum morbidity at the donor site.