35-202

Osteogénesis Imperfecta en la infancia: Consideraciones clínicas y aspectos del tratamiento quirúrgico

Childhood Osteogenesis Imperfecta: clinical considerations and surgical management

F. J. LORENTE MOLTÓ, D. BONETE LLUCH, J. SOTORRES SENTANDREU SERVICIO DE TRAUMATOLOGÍA Y CIRUGÍA ORTOPÉDICA INFANTIL. HOSPITAL INFANTIL UNIVERSITARIO "LA FE". VALENCIA.
Recepción:
15/09/2008
Aceptación:
15/09/2008
Publicación:
15/09/2008


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Resumen (ES)

A retrospective review was made of 26 patients
with Osteogenesis Imperfecta treated in our Hospital during
the past 20 years. All of them were classified according to
the Sillence criteria. The study was focused on the type III
patients, who underwent surgical treatment in order to
achieve ambulation. We also describe the surgical technique,
which was chosen according to the width of the medullary
channel, being extensible nails the best choice; they
could only be used in older children. Several surgical procedures
were needed on each patient to correct or maintain
the normal alignment of the long bones during the growth
period. Surgical complications were analyzed as well as
those produced by the natural course of the disease.

Palabras clave (ES):

Saphiro
Displasia
Osteogenesis
imperfecta
Tratamiento

Resumen (EN)

A retrospective review was made of 26 patients
with Osteogenesis Imperfecta treated in our Hospital during
the past 20 years. All of them were classified according to
the Sillence criteria. The study was focused on the type III
patients, who underwent surgical treatment in order to
achieve ambulation. We also describe the surgical technique,
which was chosen according to the width of the medullary
channel, being extensible nails the best choice; they
could only be used in older children. Several surgical procedures
were needed on each patient to correct or maintain
the normal alignment of the long bones during the growth
period. Surgical complications were analyzed as well as
those produced by the natural course of the disease.

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