Upper Extremity

Wirth, Thomas

doi:10.1007/978-3-030-42527-2_12

Cited by 2 publications

(11 citation statements)

References 8 publications

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“…The literature about rodding of humeri in OI patients is scarce. 3,[7][8][9][10][11][12][13][14] In general, humerus rodding in OI has been shown to improve function and quality of life of the patients. 3,[7][8][9][10][11][12][13][14] Regardless of the favorable outcomes, high number of complications were reported specially in rods with fixed lengths or with early telescopic rods with poor implant to bone fixation.…”

Section: Discussionmentioning

confidence: 99%

“…3,[7][8][9][10][11][12][13][14] In general, humerus rodding in OI has been shown to improve function and quality of life of the patients. 3,[7][8][9][10][11][12][13][14] Regardless of the favorable outcomes, high number of complications were reported specially in rods with fixed lengths or with early telescopic rods with poor implant to bone fixation. 3,[7][8][9][10][11][12][13][14] These complications included implant migration, implant dissociation, and the need for more invasive approaches which could result in more surgical complications.…”

Section: Discussionmentioning

confidence: 99%

“…3,[7][8][9][10][11][12][13][14] Regardless of the favorable outcomes, high number of complications were reported specially in rods with fixed lengths or with early telescopic rods with poor implant to bone fixation. 3,[7][8][9][10][11][12][13][14] These complications included implant migration, implant dissociation, and the need for more invasive approaches which could result in more surgical complications. 3,[7][8][9][10][11][12][13][14] Antegrade FD rodding of the humerus was found to have improved outcomes and less complications compared with previously described devices.…”

Section: Discussionmentioning

confidence: 99%

“…3,[7][8][9][10][11][12][13][14] In the antegrade technique, the use of a Rush rod, slim nail or Kirschner (K) wire is relatively simple; however, insertion of the telescopic Fassier-Duval (FD) rod is more challenging, particularly when inserting the female component of the rod. 3,[7][8][9][10][11][12][13][14] In contrast, since most of the growth of the humerus comes from the proximal physis, inserting elastic nails in a retrograde manner leaves the proximal part of the humerus unprotected and at risk of fracture relatively early postoperatively following the growth of the bone. 3,[7][8][9][10][11][12][13][14] Similar fracture risk applies when using non-telescopic rods/nails through the antegrade approach, however, this risk is for fracture of the distal humerus which loses its protection with bone growth.…”

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confidence: 99%

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Retrograde Application of Humerus Fassier-Duval Rod in Osteogenesis Imperfecta: A New Surgical Technique

Marwan

Dalu²,

Hamdy³

et al. 2021

Journal of Pediatric Orthopaedics

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Background: The aim of this study is to describe the technique of retrograde application of Fassier-Duval (FD) rod for the humerus in patients with osteogenesis imperfecta (OI). This technique was developed to overcome the downsides of the previously used techniques of humerus rodding. Methods: The study was done at a tertiary care pediatric orthopaedic hospital from April 2014 to August 2021. Skeletally immature patients with OI who underwent retrograde FD rodding were included. This surgery was performed for humeral shaft fractures/bowing limited to the distal half of the bone to ensure appropriate stability of the fixation. Surgical technique of the procedure is described in detail. Results: Six patients with OI, of which 2 (33.3%) had FD rodding bilaterally, were included. The mean age at rodding was 7.6 ± 3.5 (range: 3 to 14) years. The mean duration of postoperative followup was 45.5 ± 18.0 (range: 24 to 75) months. All patients had full healing of the fracture/osteotomy, with functional alignment of their humeri. No surgical complications were observed; however, 1 (12.5%) segment only had a traumatic humerus fracture following a fall that was associated with rod migration, occurring 60 months postoperatively. This was treated with a retrograde FD rodding again, with fracture augmentation with plate and screws. Conclusions: The retrograde FD rodding technique of the humerus in OI patients is relatively simple and preserves the soft tissue surrounding the shoulder joint, with favorable outcomes. Studies with larger sample size and long-term follow-up duration are needed. Level of Evidence: Level IV-case series.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

mentioning

confidence: 99%

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Retrograde Application of Humerus Fassier-Duval Rod in Osteogenesis Imperfecta: A New Surgical Technique

Marwan

Dalu²,

Hamdy³

et al. 2021

Journal of Pediatric Orthopaedics

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“…In den letzten Jahren haben sich bedeutende Fortschritte in der Diagnostik und Therapie von Seltenen Knochenerkrankungen ergeben. Erkrankungen wie die Osteogensis Imperfecta (OI) und die Hypophosphatasie (HPP) können anhand von Laboruntersuchungen sowie genetischen Tests sicher diagnostiziert werden [7,8] Während die Mehrzahl der 15 Zentren einen Anteil von 0-10 % an dysplastischen Erkrankungen in ihrem Kollektiv angaben, werden deutlich mehr Betroffene mit Erkrankungen des Calciumund Phosphatstoffwechsels sowie mit Erkrankungen der Knochenstruktur behandelt (▶Abb. 3A-C).…”

Section: Introductionunclassified

Die aktuelle Versorgungssituation von Patientinnen und Patienten mit seltenen Knochenerkrankungen an Universitätskliniken in Deutschland

et al. 2020

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Zusammenfassung„Seltene Knochenerkrankungen“ ist ein Sammelbegriff für Erkrankungen des Knochenstoffwechsels, der Knochen- mineralisierung sowie spezielle dysplastische Erkrankungen. An der Behandlung von betroffenen Patientinnen und Patienten sind häufig eine Vielzahl unterschiedlicher Fachdisziplinen wie Endokrinologie, Nephrologie, Orthopädie/Unfallchirurgie, Rheumatologie, Radiologie, Kardiologie, Neurologie, Innere Medizin, Pädiatrie und klinische Genetik beteiligt. Vor diesem Hintergrund ist die lokale Organisation und Steuerung der Versorgung von zentraler Bedeutung. Ziel der durchgeführten und hier vorgestellten Umfrage war es, die Angebote, Organisation und vorhandene Expertise an Universitätskliniken im Zusammenhang mit seltenen Knochenerkrankungen zu identifizieren und zu charakterisieren. 2018 wurden alle bekannten 32 Zentren für seltene Erkrankungen (ZSE) an deutschen Universitätskliniken angeschrieben. Insgesamt nahmen 15 Zentren an der Umfrage teil, die Rücklaufquote betrug somit 46,88 %. Es zeigen sich große Unterschiede in Bezug auf das Ausrüstungsniveau und die Diagnosemöglichkeiten, die für die Behandlung von seltenen Knochenerkrankungen erforderlich sind. In den meisten Zentren sind Verfahren zur Förderung der Gesundheitskompetenz der Patientinnen und Patienten implementiert. Nur wenige Zentren sind an Forschungsaktivitäten zu seltenen Knochenerkrankungen beteiligt und bieten strukturierte Programme zur Ausbildung und zum Austausch von Fachwissen im Zusammenhang mit seltenen Knochenerkrankungen an.Die Ergebnisse dieser Umfrage können genutzt werden, um konkrete Aktivitäten zur Verbesserung der Gesundheitsversorgung für Patientinnen und Patienten mit seltenen Knochenerkrankungen in Deutschland zu initiieren.

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Upper Extremity

Cited by 2 publications

References 8 publications

Retrograde Application of Humerus Fassier-Duval Rod in Osteogenesis Imperfecta: A New Surgical Technique

Retrograde Application of Humerus Fassier-Duval Rod in Osteogenesis Imperfecta: A New Surgical Technique

Die aktuelle Versorgungssituation von Patientinnen und Patienten mit seltenen Knochenerkrankungen an Universitätskliniken in Deutschland

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