Abstract
Congenital Pseudoarthrosis of the Tibia (CPT) is a rare disease with an incidence of one in 190,000 live births. Bilateral presentation is extremely rare, and very few case reports of bilateral CPT are mentioned worldwide. Bilateral CPT has added challenges to treatment. We here present a case report of a 4-year-old girl with bilateral CPT with Neurofibromatosis type-1 (NF-1) managed with '4 in 1 osteosynthesis' surgery of the right leg.