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- Publisher Website: 10.1097/BPB.0b013e32834de542
- Scopus: eid_2-s2.0-84871254769
- PMID: 22113104
- WOS: WOS:000311846400013
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Article: Surgical management of long bone pseudarthrosis with severe limb length discrepancy in osteogenesis imperfecta
Title | Surgical management of long bone pseudarthrosis with severe limb length discrepancy in osteogenesis imperfecta |
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Authors | |
Keywords | femur limb length discrepancy osteogenesis imperfecta pseudarthrosis |
Issue Date | 2013 |
Publisher | Lippincott Williams & Wilkins. The Journal's web site is located at http://www.jpo-b.com |
Citation | Journal Of Pediatric Orthopaedics B, 2013, v. 22 n. 1, p. 63-69 How to Cite? |
Abstract | We report a three-stage approach in managing an 18-year-old boy with osteogenesis imperfecta who had pseudarthrosis of the left femur with 150° anterior angulation and 9.5 cm shortening. Severe long bone deformity and pseudarthrosis in osteogenesis imperfecta are difficult to manage because of the relative shortening of the surrounding soft tissue and bone fragility. Our staged approach included excision of the pseudarthrosis, gradual soft tissue lengthening by external fixator, and a modified Sofield-Millar operation, to achieve union, deformity, and limb length correction without compromising much of the bone length. The patient was able to walk with support within 3 months and independently at 1 year. In this report, the management of the nonunion in osteogenesis imperfecta is discussed, with a focus on its difficulties and the management principles. |
Persistent Identifier | http://hdl.handle.net/10722/170187 |
ISSN | 2023 Impact Factor: 0.9 2023 SCImago Journal Rankings: 0.405 |
ISI Accession Number ID |
DC Field | Value | Language |
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dc.contributor.author | To, M | en_US |
dc.contributor.author | Gupta, V | en_US |
dc.contributor.author | Chow, W | en_US |
dc.date.accessioned | 2012-10-30T06:05:57Z | - |
dc.date.available | 2012-10-30T06:05:57Z | - |
dc.date.issued | 2013 | en_US |
dc.identifier.citation | Journal Of Pediatric Orthopaedics B, 2013, v. 22 n. 1, p. 63-69 | en_US |
dc.identifier.issn | 1060-152X | en_US |
dc.identifier.uri | http://hdl.handle.net/10722/170187 | - |
dc.description.abstract | We report a three-stage approach in managing an 18-year-old boy with osteogenesis imperfecta who had pseudarthrosis of the left femur with 150° anterior angulation and 9.5 cm shortening. Severe long bone deformity and pseudarthrosis in osteogenesis imperfecta are difficult to manage because of the relative shortening of the surrounding soft tissue and bone fragility. Our staged approach included excision of the pseudarthrosis, gradual soft tissue lengthening by external fixator, and a modified Sofield-Millar operation, to achieve union, deformity, and limb length correction without compromising much of the bone length. The patient was able to walk with support within 3 months and independently at 1 year. In this report, the management of the nonunion in osteogenesis imperfecta is discussed, with a focus on its difficulties and the management principles. | en_US |
dc.language | eng | en_US |
dc.publisher | Lippincott Williams & Wilkins. The Journal's web site is located at http://www.jpo-b.com | en_US |
dc.relation.ispartof | Journal of Pediatric Orthopaedics B | en_US |
dc.subject | femur | - |
dc.subject | limb length discrepancy | - |
dc.subject | osteogenesis imperfecta | - |
dc.subject | pseudarthrosis | - |
dc.title | Surgical management of long bone pseudarthrosis with severe limb length discrepancy in osteogenesis imperfecta | en_US |
dc.type | Article | en_US |
dc.identifier.email | To, M:mikektto@hkucc.hku.hk | en_US |
dc.identifier.authority | To, M=rp00302 | en_US |
dc.description.nature | link_to_subscribed_fulltext | en_US |
dc.identifier.doi | 10.1097/BPB.0b013e32834de542 | en_US |
dc.identifier.pmid | 22113104 | - |
dc.identifier.scopus | eid_2-s2.0-84871254769 | en_US |
dc.identifier.hkuros | 207117 | - |
dc.identifier.eissn | 1473-5865 | - |
dc.identifier.isi | WOS:000311846400013 | - |
dc.publisher.place | United States | en_US |
dc.identifier.scopusauthorid | To, M=35605045900 | en_US |
dc.identifier.scopusauthorid | Gupta, V=53871272000 | en_US |
dc.identifier.scopusauthorid | Chow, W=54399853900 | en_US |
dc.identifier.issnl | 1060-152X | - |