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Corrective osteotomies of pagetoid deformities in the femur and tibia—use of locked intramedullary nails

  • Alistair PaceEmail author
  • Anthony Bernard
Original Article
  • 60 Downloads

Abstract

Paget's disease of the femur and tibia causes severe morbidity and mortality in the elderly population. It weakens and deforms the bone, causing significant disability. Deformities have been corrected with various methods, mostly using external fixation. In this study, we have utilised locked intramedullary nails after osteotomy to rectify these bone deformities. A number of patients were studied and followed up using a standard method to document outcome. The aim of this investigation was to determine the clinical effectiveness of internal fixation with interlocking nails for the treatment of deformities of pagetoid bones. The safety and effectiveness in terms of function, pain relief, and cosmetic results were determined after using internal fixation to correct deformed tibiae and femora. The goal of treatment was to restore a normal axis in the limb and allow early weight bearing, preventing mineral loss and additional bone weakening. The operative procedures are described and the pre- and post-operative appearance of the lower limb bones shown. The advantages of the procedure as compared to other methods of fixation are discussed.

Keywords

Paget's disease Deformities Intramedullary nail Fixation 

Résumé

La maladie de Paget du fémur et du tibia constitue une importante cause de morbidité et de mortalité chez les personnes âgées. Elle affaiblit et déforme les pièces osseuses et entraîne de graves troubles fonctionnels. Les déformations ont pu être traitées de façon variée, souvent grâce à des fixations externes. Dans cette étude, nous avons utilisé un enclouage verrouillé centro-médullaire après ostéotomie correctrice. Un nombre de patient a été étudié et suivi en utilisant une méthode d'évaluation standardisée. La technique opératoire est décrite et l'aspect pré- et post-opératoire du membre inférieur est représenté dans les figures. Les avantages de notre méthode sont comparés aux autres méthodes d'ostéosynthèse et discutés.

Mots-clés

Maladie de Paget Déformations Enclouage centro-médullaire Ostéosynthèse 

References

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Copyright information

© Springer-Verlag 2003

Authors and Affiliations

  1. 1.St. Luke's HospitalG'mangiaMalta
  2. 2.Trauma and OrthopaedicsWhipps Cross University HospitalLeytonstone, LondonUK
  3. 3.Flat 19Reading RG15LRUK

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