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Extended Applications of Trauma Implants to Prevent or Treat Fractures in Pathological Bone

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Handbook of Orthopaedic Trauma Implantology

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Abstract

In this chapter, the authors explore the implications of trauma implants for fractures occurring in pathological bone. The focus of the management of paediatric pathological fractures has shifted from treatment to prevention. Common paediatric problems include but are not limited to osteogenesis imperfecta (OI), fibrous dysplasia, pseudoarthrosis (tibial shaft and femoral neck), and tumors (benign and malignant). It becomes challenging to use even a familiar implant in a compromised paediatric bone. Moreover, implants are used whenever it is immensely important to avoid iatrogenic fracture and growth-related complications or when the goal of the surgery itself is to prevent fracture and/or deformity correction. Implants like Fassier–Duval (FD) nail, EVOS plate, mega-prosthesis, and titanium elastic intramedullary nail system (TENS) require special consideration when used in a biologically weak bone. This chapter provides unique insight into such unconventional usage of trauma implants to prevent or treat fractures in the pathological bone.

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Author information

Authors and Affiliations

  1. Children’s Orthopaedic Centre, Mumbai, MH, India

    Ashok Johari

  2. Pediatric Orthopedic Surgery Department, Children’s Hospital “Vittore Buzzi”, Milan, Italy

    Antonio Andreacchio

  3. Department of Pediatric Orthopedic Surgery, Lille University Center, Jeanne de Flandre Hospital, Lille, France

    Federico Canavese

  4. Faculty of Medicine, Nord-de-France Lille University, Lille, France

    Federico Canavese

  5. Clinical Fellow in Orthopedic Sports Medicine, Jefferson Health NorthEast, Philadelphia, PA, USA

    Mohit J. Jain

Authors
  1. Ashok Johari
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  2. Antonio Andreacchio
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  3. Federico Canavese
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  4. Mohit J. Jain
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Editor information

Editors and Affiliations

  1. NH Narayana Superspeciality and Multispeciality Hospitals, Howrah, West Bengal, India

    Arindam Banerjee

  2. Technical University of Munich, Munich, Germany

    Peter Biberthaler

  3. Sri Lakshmi Narayana Institute of Medical Sciences, Puducherry, India

    Saseendar Shanmugasundaram

Section Editor information

  1. Childrens' Orthopaedic Centre, Mumbai, Maharashtra, India

    Ashok Johari

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© 2023 Springer Nature Singapore Pte Ltd.

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Johari, A., Andreacchio, A., Canavese, F., Jain, M.J. (2023). Extended Applications of Trauma Implants to Prevent or Treat Fractures in Pathological Bone. In: Banerjee, A., Biberthaler, P., Shanmugasundaram, S. (eds) Handbook of Orthopaedic Trauma Implantology. Springer, Singapore. https://doi.org/10.1007/978-981-19-7540-0_91

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  • DOI: https://doi.org/10.1007/978-981-19-7540-0_91

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  • Publisher Name: Springer, Singapore

  • Print ISBN: 978-981-19-7539-4

  • Online ISBN: 978-981-19-7540-0

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