Title

Pediatric Limb Reconstruction In Osteogenesis Imperfecta

Keywords

Limb deformity; Non-union; Osteotomy; Telescoping intramedullary rods

Abstract

The indications for limb reconstruction surgery in children with osteogenesis imperfecta (OI) are recurrent long bone fractures or long bone deformity that interferes with function. Intramedullary rod fixation is the preferred method of stabilization, as it is load sharing and will splint the pathologic bone to reduce the incidence of fracture, progressive deformity and associated pain. Telescoping rod systems have been developed that will expand with growth and diminish the number of procedures necessary to keep the bone splinted during skeletal growth. Even with modern treatment consisting of medical management with bisphosphonates and surgical reconstruction with telescoping rods, reoperation is common. Children with OI have a higher incidence of non-union, which may be further increased by bisphosphonate therapy. Combined medical and surgical treatment lowers bone pain, fracture occurrence and can improve function. © 2014 Elsevier Inc. All rights reserved.

Publication Date

1-1-2013

Publication Title

Osteogenesis Imperfecta: A Translational Approach to Brittle Bone Disease

Number of Pages

443-451

Document Type

Article; Book Chapter

Personal Identifier

scopus

DOI Link

https://doi.org/10.1016/B978-0-12-397165-4.00047-2

Socpus ID

84902430249 (Scopus)

Source API URL

https://api.elsevier.com/content/abstract/scopus_id/84902430249

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