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Article: Surgical management of long bone pseudarthrosis with severe limb length discrepancy in osteogenesis imperfecta

TitleSurgical management of long bone pseudarthrosis with severe limb length discrepancy in osteogenesis imperfecta
Authors
Issue Date2013
PublisherLippincott 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?
AbstractWe 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 Identifierhttp://hdl.handle.net/10722/170187
ISSN
2015 Impact Factor: 0.449
2015 SCImago Journal Rankings: 0.376
ISI Accession Number ID

 

DC FieldValueLanguage
dc.contributor.authorTo, Men_US
dc.contributor.authorGupta, Ven_US
dc.contributor.authorChow, Wen_US
dc.date.accessioned2012-10-30T06:05:57Z-
dc.date.available2012-10-30T06:05:57Z-
dc.date.issued2013en_US
dc.identifier.citationJournal Of Pediatric Orthopaedics B, 2013, v. 22 n. 1, p. 63-69en_US
dc.identifier.issn1060-152Xen_US
dc.identifier.urihttp://hdl.handle.net/10722/170187-
dc.description.abstractWe 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.languageengen_US
dc.publisherLippincott Williams & Wilkins. The Journal's web site is located at http://www.jpo-b.comen_US
dc.relation.ispartofJournal of Pediatric Orthopaedics Ben_US
dc.titleSurgical management of long bone pseudarthrosis with severe limb length discrepancy in osteogenesis imperfectaen_US
dc.typeArticleen_US
dc.identifier.emailTo, M:mikektto@hkucc.hku.hken_US
dc.identifier.authorityTo, M=rp00302en_US
dc.description.naturelink_to_subscribed_fulltexten_US
dc.identifier.doi10.1097/BPB.0b013e32834de542en_US
dc.identifier.pmid22113104-
dc.identifier.scopuseid_2-s2.0-84871254769en_US
dc.identifier.hkuros207117-
dc.identifier.eissn1473-5865-
dc.identifier.isiWOS:000311846400013-
dc.publisher.placeUnited Statesen_US
dc.identifier.scopusauthoridTo, M=35605045900en_US
dc.identifier.scopusauthoridGupta, V=53871272000en_US
dc.identifier.scopusauthoridChow, W=54399853900en_US

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