Disease Progression Without Fracture in Anterolateral Tibial Curvature: A Case Report and Literature Review

Gürsoy M. K., Er M. S.

JBJS case connector, vol.16, no.1, 2026 (Scopus) identifier identifier

  • Publication Type: Article / Article
  • Volume: 16 Issue: 1
  • Publication Date: 2026
  • Journal Name: JBJS case connector
  • Journal Indexes: Scopus, EMBASE, MEDLINE
  • Keywords: congenital long bone curvatures, congenital tibial bowing, congenital tibial pseudarthrosis, intramedullary tibial nail in children, lower limb defects in children
  • Akdeniz University Affiliated: Yes

Abstract

CASE: A 15-year-old girl presented with isolated anterolateral tibial bowing without fracture, an unusual manifestation. The deformity was initially corrected with a double-level osteotomy sparing the apex and intramedullary nail fixation. A second corrective procedure was performed for residual deformity, resulting in satisfactory alignment and union. CONCLUSION: Congenital tibial pseudarthrosis most often progresses to fracture in early childhood, but this rare presentation without fracture highlights the variability of the condition. Successful correction was achieved through staged, apex-preserving, double-level osteotomies and intramedullary fixation, providing a potential strategy for atypical cases.