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MINERVA ORTOPEDICA E TRAUMATOLOGICA
A Journal on Orthopedics and Traumatology
BONE AND JOINT DEFORMITIES - SCIENTIFIC PAPERS 100° CONGRESS OF THE PIEMONTESE-LIGURIAN-LOMBARD SOCIETY OF ORTHOPAEDICS AND TRAUMATOLOGY (S.P.L.L.O.T.) - Pavia, June 20-21, 2003
Minerva Ortopedica e Traumatologica 2003 June;54(3):170-3
Surgical treatment of long bone deformities in severe osteogenesis imperfecta
Frediani P.V., Ferri V.
U.O. di Ortopedia e Traumatologia, Ospedale S. Antonio Abate, Gallarate (VA)
Personal experience in the surgical treatment of bone deformities in osteogenesis imperfecta is reported on the basis of 45 operations in 13 seriously affected patients. Three different procedures were used. Fragmentation and temporary fixation with K. wire does not protect the bone sufficiently and deformity recurrences can occur in the lower extremities. Fragmentation, realignment and intramedullary synthesis, which are technically fairly easy, are indicated in patients who are nearing the end of their bone growth. Use of the Bailey-Dubow extensible nail is a more complicated procedure and absolutely indicated only in the growing bone. Functional recovery of patients was satisfactory and complications few and far between, with the exception of a significant incidence of diaphyseal atrophy.