A multitude of treatment strategies have been described and proposed over the years for congenital pseudarthrosis of the tibia. Due to the complex and difficult nature of CPT, these treatment strategies have had varying degrees of success. Most of these treatments focused on stimulating the healing process through the use of bone grafts and fixation techniques. Many different bone grafts and fixation methods have been proposed. Whatever the treatment method used, the natural history of CPT is that the affected bone segment remains atrophic (thin and weak) and poorly consolidated, resulting in a high tendency to refracture.