Osteogenesis Imperfecta Treatment



Osteogenesis Imperfecta Treatment


Samantha A. Spencer



Operative Indications


Osteogenesis Imperfecta With Significant Bowing and/or Displaced Fracture



Positioning

Bilateral femurs/tibias—supine on blanket table on flat radiolucent table. Unilateral femur or humerus—sloppy lateral with bumps, prep and drape entire extremity free with U/bar drapes for femur/humerus or extremity for tibias (Figure 29.1A and B).


Surgical Approach

Access the apex of the worst bow or fracture. Always anterolateral. For femur, OK to go through vastus if midshaft rather than more extensile lateral subvastus approach. For coxa vara/proximal third bow, standard lateral approach. For humerus anterolateral, find and dissect out radial nerve up into spiral groove and mobilize first.


Techniques in Steps

Jun 9, 2022 | Posted by in Reconstructive surgery | Comments Off on Osteogenesis Imperfecta Treatment
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