Title: Functional Outcome of Osteotomy and Telescopic intramedullary nailing in paediatric cases of Osteogenesis imperfecta with Long bone Deformities
Authors: T. Satish Chandra Reddy, Chennakesava Rao Sajja
DOI: https://dx.doi.org/10.18535/jmscr/v7i2.181
Abstract
Introduction: The main feature of osteogenesis imperfecta is an excessive fragility and deformability of the bones owing to reduced mass and bone quality. This leads to angular deformity and frequent fractures. These fractures usually heal normally, and malunion is a common complication with conservative management.
Aims and Objectives: To study the outcome of osteotomy and telescopic intramedullary nailing in paediatric cases of Osteogenesis imperfecta with deformities in long bones.
Methods and Methodology: 6 cases of Osteogenesis imperfecta with deformities of long bones of lower limb were included in the study. All were treated using Telescopic intramedullary nailing after corrrection of deformity by osteotomy. Results were evaluated after 1 year of follow up by using radiological evaluation and functional usage of the limb.
Results: Radiological fracture healing was noticed at 14 weeks in all cases. Allowed full weight bearing after radiological fracture healing. Patients were able to walk without any aids after 6 months. One case had recurrence of deformity at lower tibia after 1 year of follow up.
Conclusion: The staged surgical stabilization performed allows for simultaneous correction of deformities and fracture healing resulting in rapid mobilization and better functional outcome.
Keywords: Osteofenesis imperfect, deformity correction, telescopic nailing.
