Summary
Marked deformities of the skeleton may develop in the severe form of osteogenesis imperfecta. Internal fixation can be effective in the treatment and prevention of fractures and deformities. Eight years ago, axial correction of deformities of the femora and tibiae by manual osteoclasis was carried out in a 7 year old girl in whom osteogenesis imperfecta had produced severe bowing of the long bones of the legs. Internal metal splints were introduced percutaneously to lie partially in, and partially alongside, the bone, to obtain fixation in the correct position. This treatment resulted in the prevention of refracture of the legs, while correction was maintained.
Résumé
D'importantes déformations du squelette peuvent apparaitre dans les formes graves de l'ostéogénèse imparfaite. La fixation interne est susceptible de traiter efficacement et de prévenir les fractures et les déformations. Il y a huit ans, une correction axiale des déformations des fémurs et des tibias a été réalisée par ostéoclasie manuelle chez une petite fille de 7 ans chez qui une ostéogénèse imparfaite avait entrainé de très importantes courbures des os longs des membres inférieurs. Des broches furent mises en place par voie percutanée, partiellement à l'intérieur des os et partiellement le long d'eux, afin d'obtenir une fixation en position correcte. Ce traitement a permis la prévention de nouvelles fractures, tandis que la correction était maintenue.
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Sijbrandij, S. Percutaneous nailing in the management of osteogenesis imperfecta. International Orthopaedics 14, 195–197 (1990). https://doi.org/10.1007/BF00180128
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DOI: https://doi.org/10.1007/BF00180128