Using humeral nail for surgical reconstruction of femur in adolescents with osteogenesis imperfecta

Sa-ngasoongsong, Paphon; Saisongcroh, Tanyawat; Angsanuntsukh, Chanika; Woratanarat, Patarawan; Mulpruek, Pornchai

doi:10.5312/wjo.v8.i9.735

Cited by 5 publications

(7 citation statements)

References 11 publications

(14 reference statements)

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“…Intramedullary fixation is often recommended for fracture repair. 3 , 6 – 8 For this patient, as the owner and veterinarian attempted a different approach, K-wires were used for fracture repair of the long bones. K-wires were also inserted into the intact long bones to distribute stress.…”

Section: Discussionmentioning

confidence: 99%

“…Preventive intramedullary pinning can also be attempted to distribute the load on long bones. 6,7 However, owing to poor prognosis, euthanasia is often elected in veterinary medicine. 1 Thus, this case report aims to describe the long-term Long-term follow-up of a cat with an undetermined osteoporotic bone disease managed with multiple intramedullary pins management of suspected OI by surgical repair using intramedullary pins in a cat.…”

Section: Introductionmentioning

confidence: 99%

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Long-term follow-up of a cat with an undetermined osteoporotic bone disease managed with multiple intramedullary pins

Kim

et al. 2020

Journal of Feline Medicine and Surgery Open Reports

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Case summary Osteogenesis imperfecta (OI) is an inherited disorder related to the synthesis of type 1 collagen. Clinical signs of pain from the fracture of fragile bones are common. A 3-month-old male Chinchilla cat was presented for lameness and pain from a right femoral fracture. After surgical repair using intramedullary pins, and since repeated fractures occurred and there is little information about genes causing OI in cats, various examinations were performed to discriminate other diseases that could cause the pathological fracture. Primary hyperparathyroidism and nutritional or renal secondary hyperparathyroidism were ruled out through blood tests and ultrasonography. Quantitative CT confirmed low trabecular bone mineral density compared with normal cats. Radiography and histopathological examination revealed thin cortical bone. OI was tentatively diagnosed and long-term follow-up of the surgical repair was reviewed. Fractures were treated using intramedullary Kirschner wires. The same method of intramedullary pinning was then applied preventively to protect several other long bones by improving stress distribution and bending resistance. Follow-up was performed for 3 years until the patient’s death due to undetermined reasons. Relevance and novel information Although the patient underwent repeated fractures and bone unions, and needed medication for pain management sometimes, it was generally able to live as a companion cat. Therefore, palliative preventive intramedullary pinning could be used for long-term management of patients suspected of OI.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Long-term follow-up of a cat with an undetermined osteoporotic bone disease managed with multiple intramedullary pins

Kim

et al. 2020

Journal of Feline Medicine and Surgery Open Reports

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“…Sangasoongsong et al support the view of using humeral nails in femoral fixation in patients with OI over Rush nails as they have a smaller diameter and provide the interlocking property which is better for rotational stability [19]. Mulpuri and Joseph report the results of a 10-year period of intramedullary rodding in 16 patients.…”

Section: Discussionmentioning

confidence: 99%

“…Pre-operative planning and selection of the best implant for patients with OI is very important but problematic as well. The age of the patient, the distortion of the anatomy, the advantages and disadvantages of the various surgical instruments, the availability of the different surgical instruments, the surgical experience, and the post-operative complications are all factors that should be carefully examined in order to select the best implant for each case [18,19]. With our case report, we present a relatively simple surgical technique for correction of long bone deformities that can be a good alternative when there is no access to advanced, innovative surgical systems, such as telescoping rods.…”

Section: Discussionmentioning

confidence: 99%

Surgical Treatment of Bilateral Tibia Deformity in a 9-Year-Old Child Suffering from Osteogenesis Imperfecta Type III: A Case Report

Delniotis

Leidinger

2019

Am J Case Rep

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Patient: Male, 9Final Diagnosis: Osteogenesis imperfecta type IIISymptoms: Walking difficultiesMedication: —Clinical Procedure: Osteotomies and realignment of bone deformitySpecialty: Orthopedics and TraumatologyObjective:Congenital defects/diseasesBackground:Osteogenesis imperfecta is a rare inherited connective tissue disorder that is mainly characterized by long bone deformities and increased susceptibility to bone fractures. The aim of this study was to present a surgical technique in a child suffering from osteogenesis imperfecta and progressive, severe bowing deformity of both tibias, as an alternative method to advanced, innovative surgical systems.Case Report:A 9-year-old child (male) was referred to our orthopedic clinic for inability to walk independently due to extreme anterior bowing of both tibias. After the diagnosis of osteogenesis imperfecta type III was established, bilateral surgical treatment with multiple osteotomies and intramedullary, flexible Titanium Elastic Nail System (TENS) nails was decided. Six months post-operatively callus formation was obvious in x-rays and at the latest follow-up (1 year post-operatively) the patient regained the ability to walk independently.Conclusions:In types of osteogenesis imperfecta which are characterized by extreme deformities (type III) surgical intervention seems to be the only solution for these patients to walk again. We present a relatively simple technique of correcting such deformities, indicating that no matter which technique will be used (simple or more complicated) the final goal should be to restore the walking ability with as little complications as possible.

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“…However, the common orthopaedic manifestations seen in the OI patients, due to excessive fragility are frequent fractures, progressive deformity of long bones and impaired ambulation. 2,3 The treatment of OI requires a multidisciplinary approach includes both medical and surgical treatment. Medical management includes use of bisphosphonates therapy to increase bone mineral density and reduce long bone fractures rate and surgical management for fracture fixation or deformity correction.…”

Section: Introductionmentioning

confidence: 99%

Humerus nail for tibial reconstruction in adolescent with osteogenesis imperfecta – A rare surgical case report

Ravikumar¹,

Pradeep

Pillai³

2022

IJOS

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Osteogenesis Imperfecta (OI) is a rare connective tissue disorder known for excessive bone fragility caused by collagen mutations. The common orthopaedic problems related to bone fragility include frequent multiple bone fractures, progressive deformity of long bones leading to impaired ambulation. Surgical correction of long bone deformities in OI is conventionally done using distraction osteogenesis (illizarov fixator), elastic intramedullary nailing, rigid extramedullary fixation using plates, after osteotomy. Intramedullary fixation appears to be an ideal choice for correction of recurrent deformity in the long bone and the devices used previously include telescoping rods, single or dual non-elongating nails (rush nail, TENS). Recently in a case report of 3 individual patients, a humerus nail has been used to reconstruct femur in adolescents with OI. We report a case of humerus nailing for reconstruction of tibia in an adolescent OI male with excellent outcomes which is first of its kind and not reported previously by any other authors.

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Using humeral nail for surgical reconstruction of femur in adolescents with osteogenesis imperfecta

Cited by 5 publications

References 11 publications

Long-term follow-up of a cat with an undetermined osteoporotic bone disease managed with multiple intramedullary pins

Long-term follow-up of a cat with an undetermined osteoporotic bone disease managed with multiple intramedullary pins

Surgical Treatment of Bilateral Tibia Deformity in a 9-Year-Old Child Suffering from Osteogenesis Imperfecta Type III: A Case Report

Humerus nail for tibial reconstruction in adolescent with osteogenesis imperfecta – A rare surgical case report

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