{
  "abstract": "Introduction Congenital pseudarthrosis of the tibia (CPT) is a rare dysplastic disorder characterized by persistent non-union and recurrent fracture. Management becomes particularly challenging in multiply operated adults with limb-length discrepancy (LLD), deformity, and compromised local biology. Deep infection involving a previously reconstructed CPT segment further limits conventional fixation options. Case Report An 18-year-old male with recurrent CPT and multiple previous surgical procedures presented with an unstable tibial pseudarthrosis, 5-cm LLD, and ankle valgus. Initial Ilizarov compression failed to achieve union. Subsequent excision of the pseudarthrosis and tricortical iliac crest grafting achieved initial union but was complicated by graft-site fracture and deep Staphylococcus aureus infection. Following radical debridement, a multilevel Ilizarov construct was used to achieve acute compression at the infected pseudarthrosis and proximal tibial distraction osteogenesis in healthy bone. Union, infection eradication, and limb-length restoration were achieved and maintained at 24-month follow-up. Conclusion Simultaneous compression of an infected CPT site and distraction osteogenesis through healthy bone may provide a limb-salvage strategy in complex adult CPT when internal fixation is unsuitable.",
  "abstract_shown": true,
  "affiliations": [
    "Department of Orthopaedics, Dr. Vasantrao Pawar Medical College Hospital and Research Center, Nashik, Maharashtra, India.",
    "Department of Orthopaedics, Kelkar Hospital, Nashik, Maharashtra, India."
  ],
  "article_type": null,
  "arxiv": null,
  "author_total": 4,
  "authors": [
    {
      "affs": [
        0
      ],
      "name": "Abhishek Dussa",
      "orcid": "0009-0005-4170-9125"
    },
    {
      "affs": [
        0
      ],
      "name": "Ketankumar Gandhi",
      "orcid": "0000-0001-8071-3163"
    },
    {
      "affs": [
        0
      ],
      "name": "Swapnil Jagdale"
    },
    {
      "affs": [
        1
      ],
      "name": "Sagar Kelkar",
      "orcid": "0009-0002-8706-2003"
    }
  ],
  "bibtex": "https://research.draconitic.com/paper/1ry5yr7bp4spw.bib",
  "cited_by": 0,
  "doi": "10.13107/jocr.2026.v16.i11.8386",
  "fulltext_url": "https://jocr.co.in/wp/2026/11/compression-of-the-diseased-segment-and-regeneration-through-healthy-bone-for-salvage-of-infected-recurrent-congenital-pseudarthrosis-of-the-tibia-in-an-adult-a-case-report/",
  "id": "1ry5yr7bp4spw",
  "issns": [
    "2250-0685",
    "2321-3817"
  ],
  "landing_url": "https://doi.org/10.13107/jocr.2026.v16.i11.8386",
  "language": "en",
  "licence": "CC-BY-NC",
  "licence_label": "CC BY-NC",
  "licence_source": "article",
  "licence_url": "https://creativecommons.org/licenses/by-nc/4.0/",
  "metadata_licence": null,
  "native_subjects": [
    [
      "lcc",
      "RC925-935"
    ],
    [
      "lcc",
      "RD701-811"
    ],
    [
      "openalex",
      "2732|Bone fractures and treatments"
    ]
  ],
  "openalex": "W7225597774",
  "pdf_url": "https://europepmc.org/articles/PMC13741025?pdf=render",
  "pmcid": "PMC13741025",
  "pmid": "42997214",
  "published": "2026-11-01",
  "publisher": "Indian Orthopaedic Research Group",
  "ris": "https://research.draconitic.com/paper/1ry5yr7bp4spw.ris",
  "sources": [
    {
      "first_seen": "2026-11-09T14:21:35Z",
      "native_id": "1a847207820f431ab2fe07f66432ef61",
      "source": "doaj",
      "url": "https://doi.org/10.13107/jocr.2026.v16.i11.8386"
    },
    {
      "first_seen": "2026-11-09T15:20:34Z",
      "native_id": "MED:42997214",
      "source": "europepmc",
      "url": "https://europepmc.org/article/MED/42997214"
    }
  ],
  "subjects": [
    {
      "field": "medicine",
      "origin": "openalex:2732|Bone fractures and treatments",
      "subfield": "surgery"
    }
  ],
  "title": "Compression of the Diseased Segment and Regeneration through Healthy Bone for Salvage of Infected Recurrent Congenital Pseudarthrosis of the Tibia in an Adult: A Case Report",
  "title_text": "Compression of the Diseased Segment and Regeneration through Healthy Bone for Salvage of Infected Recurrent Congenital Pseudarthrosis of the Tibia in an Adult: A Case Report",
  "type": "peer-reviewed",
  "updated_at": "2026-11-10T03:20:49Z",
  "url": "https://research.draconitic.com/paper/1ry5yr7bp4spw",
  "venue": "Journal of Orthopaedic Case Reports",
  "versions": []
}