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CONGENITAL PSEUDARTHROSIS OF THE LEG: Title and subTitle BreakTHREE CASES TREATED BY MASSIVE BONE GRAFT FREE

PAUL C. COLONNA, M.D.
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Read before the Section on Orthopedic Surgery at the Eighty-Fifth Annual Session of the American Medical Association, Cleveland, June 14, 1934.


JAMA. 1934;103(26):2012-2016. doi:10.1001/jama.1934.02750520014004
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The so-called congenital pseudarthrosis of the bones is an interesting and rather rare type of fracture. Wade1 and Inglis2 of Australia have made important contributions to this subject, but it is in the Italian and French medical literature that the greatest attention is devoted to it. In the American literature the most noteworthy contribution is by Henderson,3 who in 1923 called attention to the condition and in 1928 reported seven cases. It is not merely a fracture that fails to unite but a pathologic condition in the bone or bones, causing weakness and subsequent fracture. There have been reports of congenital pseudarthrosis of the clavicle, ulna and femur, but the bones of the leg are by far the most frequent site of the lesion.

The most satisfactory grouping would appear to be that of Codivilla,4 who has classified the cases under three headings: (1) those in

REFERENCES

Wade, R. B.:  The So-Called Congenital Pseudarthrosis of the Tibia , J. Coll. Surg., Australia 1:181-193 ( (Nov.) ) 1928;.
Inglis, K.:  Pathology of Congenital Pseudarthrosis of the Tibia , J. Coll. Surg., Australia 1: 194-207 ( (Nov.) ) 1928;.
Henderson, M. S.:  Nonunion in Fractures: The Massive Bone Graft , J. A. M. A. 81:463 ( (Aug. 11) ) 1923;
 Pseudarthrosis of the Tibia in Children , J. Bone & Joint Surg. 7:340 ( (April) ) 1925;
 Congenital Pseudarthrosis of the Tibia , J. Bone & Joint Surg. 10:483-490 ( (July) ) 1928;.
Codivilla, A.:  On the Care of the Congenital Pseudarthrosis of the Tibia by Means of Periosteal Transplantation , Am. J. Orthop. Surg. 55: 163 ( (Oct.) ) 1906;.
Potel, G.: Traite pratique d'orthopédie: Courdures et pseudarthroses des os de la jambe, 1925, pp. 74-81.
Basseta, quoted by Henderson.3
Frattin, G.:  Curvature e pseudoartrosi della tibia de origine congenita , Arch. di orthop. 26:461, 1909;.
Dillehunt, R. B., and LeCocq, J. F.:  Pseudarthrosis of the Tibia in Young Children , J. A. M. A. 90:1615-1617 ( (May 19) ) 1928;.
Kenwell, H. N.:  A Case of Congenital Fracture of the Leg Associated with Many Other Important Anomalies , Buffalo General Hospital Bull. 3: 29 (No. (2) ) 1925;.

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Wade, R. B.:  The So-Called Congenital Pseudarthrosis of the Tibia , J. Coll. Surg., Australia 1:181-193 ( (Nov.) ) 1928;.
Inglis, K.:  Pathology of Congenital Pseudarthrosis of the Tibia , J. Coll. Surg., Australia 1: 194-207 ( (Nov.) ) 1928;.
Henderson, M. S.:  Nonunion in Fractures: The Massive Bone Graft , J. A. M. A. 81:463 ( (Aug. 11) ) 1923;
 Pseudarthrosis of the Tibia in Children , J. Bone & Joint Surg. 7:340 ( (April) ) 1925;
 Congenital Pseudarthrosis of the Tibia , J. Bone & Joint Surg. 10:483-490 ( (July) ) 1928;.
Codivilla, A.:  On the Care of the Congenital Pseudarthrosis of the Tibia by Means of Periosteal Transplantation , Am. J. Orthop. Surg. 55: 163 ( (Oct.) ) 1906;.
Potel, G.: Traite pratique d'orthopédie: Courdures et pseudarthroses des os de la jambe, 1925, pp. 74-81.
Basseta, quoted by Henderson.3
Frattin, G.:  Curvature e pseudoartrosi della tibia de origine congenita , Arch. di orthop. 26:461, 1909;.
Dillehunt, R. B., and LeCocq, J. F.:  Pseudarthrosis of the Tibia in Young Children , J. A. M. A. 90:1615-1617 ( (May 19) ) 1928;.
Kenwell, H. N.:  A Case of Congenital Fracture of the Leg Associated with Many Other Important Anomalies , Buffalo General Hospital Bull. 3: 29 (No. (2) ) 1925;.
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