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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

Copyright © 2003 EDIZIONI MINERVA MEDICA

language: Italian

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)


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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.

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